168 Paralegal jobs in Scio, OR

High School Diploma or General Education Diploma (GED).
One year's experience as a Receptionist in a clinic preferred.
Bilingual (English/Spanish) required at level 9.
Ability to prioritize work and handle a variety of tasks simultaneously, with frequent interruptions.
Ability to interact with patients, Providers and staff in a professional manner.
Ability to deliver outstanding customer service.
Basic knowledge of medical terminology desired.
Basic knowledge of healthcare billing insurance desired.
Basic proficiency with a variety of computer programs including Microsoft Outlook, Word and Excel.

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Health Services Medical Biller/Coder

Linn County Department of Health Services

Albany, OR 97321

~ 28 min Onsite

Strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines.
Reviews and verifies documentation supporting diagnoses, procedures, treatment results, complications, potential quality of care and billing/procedural issues.
Audit clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes and identify discrepancies and reportable elements.
Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for the specific program.
Identifies and reports coding opportunities and recommendations for improvement. Monitors report trends and escalate discrepancies to management.
Ensure compliance with coding standards across various medical coding encounters including Mental Health, Substance Disorders and various Public Health programs.
Input all charges related to services provided by the Health Department into the billing system in accordance with established processes with a strong emphasis on accuracy to ensure efficiency in processing and receipt of payments.
Post all payments, by line-item, received for providers services into billing system including co-payments, insurance payments, and client payments in accordance with established processes with an emphasis on accuracy to ensure maximum revenue collection.
Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on client satisfaction.
Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
Follow-up on all outstanding client account balances at 60-120+ days from the date of service in accordance with practice protocol with an emphasis on maximizing client satisfaction and practice profitability using the A/R aged reports.
Process refunds to insurance companies or client in accordance with practice protocol.
Will be providing cross coverage with other team members.
Maintain an organized, efficient and professional work environment.
Adhere to all practice policies related to OSHA, HIPAA and Medicare and Medicaid Compliance.
Assure compliance with Oregon Revised Statutes, Oregon Administrative Rules, related Federal regulations (42 CFR, etc.) and department policies.
Able to use collaborative problem solving and communication skills in a team setting
Develop and maintain effective, harmonious and reasonable work relationships with others.
Maintain regular and predictable work attendance.
KNOWLEDGE, SKILL AND ABILITY: Knowledge of outpatient code sets including CPT, HCPCS, ICD-10-CM/PCS in physician outpatient coding and reimbursement regulations; knowledge of current healthcare-based technology and Electronic Health Record (EHR) practices; coding guidelines; departmental policies and procedures; medical terminology, rules and regulations governing area of assignment; and, revenue cycle workflows.
Knowledge of the principles and practices of delivery of community-based health services including: Quality assessment/improvement in a community based healthcare setting; Knowledge of state and federal privacy laws, consent for treatment and release of information, clinical treatment strategies and planning.
Ability to interpret and educate staff and assure compliance with Oregon Revised Statutes, Oregon Administrative Rules, related Federal regulations (42 CFR, etc.) and department policies.
Ability to develop supportive, collaborative relationships with allied service providers and agencies.