We recognize the health disparities of people of color, people from working class backgrounds, women and LGBTQ people. We believe that the experiences of these communities must be valued in the work we do. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.  For immediate consideration, please submit a resume and cover letter with our application form.

Portland Mental Health & Wellness is a thriving private practice and training practice with three locations in NE, SE, and SW Portland. We are a collaboration of psychologists, psychiatric prescribers, counselors and our trainees. We emphasize a focus on relating with the person first and foremost and addressing diagnosis and treatment from within the relationship.

We strongly emphasize trauma informed care, cultural competency, establishing comfort and safety for patients, and coordination of care with primary care doctors, specialists, pediatricians, schools, and other mental health clinicians.

Position:

  • Full time – 40 hours per week, Monday through Friday

Job Responsibilities:

This position description is not intended to be an all-inclusive list of responsibilities, skills, or working conditions associated with this position. Management reserves the right to modify, and/or remove duties as necessary.

  • Verify patient insurance coverage utilizing phone or online portals.
  • Daily eligibility checks for all OHP plans.
  • Submit prior authorizations to insurance via payer specific online portals or by fax.
  • Follow up on pending/denied authorization requests.
  • Daily visit count for certain payors.
  • Read and interpret insurance explanations of benefits (EOBs).
  • Review charge submission for accuracy (POS, MODs, Telehealth guidelines per payor).
  • Review and resubmit clearing house rejections.
  • Print CMS Forms for payers (this also includes secondary claims).
  • External claim entry via online portal for specific payers.
  • Resolve insurance claim rejections/denials, and non-payment of claims by payor.
  • Draft effective appeals to insurance companies.
  • Accurate posting of all insurance payments, patient payments, and approved write-offs in our Electronic Health Record system.
  • Resolve all custom and system driven edits, un-billed and exclusion errors in a timely manner.
  • Research and process insurance refund requests.
  • Utilize monthly/quarterly aging accounts receivable reports to follow up and maintain on unpaid claims or patient payments.
  • Generate patient billing statements once a month.
  • Process daily payments for patient accounts.
  • Reviews and monitors patient accounts and collects outstanding patient balances.
  • Investigate all mail returns and update the system, take appropriate action if the patient has terminated care.
  • Maintain open communication with patients regarding balances, insurance benefits and coverage.
  • Establishes payment plans for patients and monitors payment plans on a regular basis.
  • Tracks credit card errors and manages client contact around billing issues.
  • Notifies and communicates with clinicians in a clear and concise manner.
  • Answers incoming calls to the billing department and resolves patient billing issues.
  • Work as liaison with other departments to facilitate problem solving and data collection appropriate to patient and insurance billing.
  • Complete all tasks, voicemails and emails daily.
  • Maintain working knowledge of state and federal billing guidelines.
  • Follow HIPAA guidelines in handling patient information.
  • Regularly meet with the Practice Owner to discuss and resolve reimbursement issues or billing obstacles.
  • Perform other duties as assigned.

Required Qualifications:

  • 2 or more years experience in medical/mental health billing.
  • Working knowledge of Insurance Coordination of Benefits.
  • Working knowledge of Medicare and Medicaid and commercial insurance.
  • Working knowledge of Microsoft Excel, Google Suite (sheets, docs, and slides), and EHR systems.
  • Knowledge of ICD-10 CPT billing codes for mental health.
  • Problem solving, detail oriented, communication, and organizational skills.
  • Ability to work independently.
  • Ability to handle multiple tasks simultaneously.
  • Ability to interface with colleagues and patients of any race, ethnicity, gender, sexual orientation, religion, class, ability, et al.
  • Demonstrated competence and humility in terms of race, ethnicity, gender, sexual orientation, religion, class, ability et al, when engaging with patients/public.

  • Demonstrated commitment to the preservation of a workplace which embraces diversity.

Compensation:

  • $21.00 per hour to start

Portland Mental Health & Wellness offers a competitive benefits package for full time employees that includes:

    • Paid sick time (40 hrs to start)
    • Paid holidays
    • Paid vacation
    • Health, dental, vision insurance
    • Employer Paid Life/AD&D
    • Voluntary Short Term Disability
    • 401K retirement with 3-4% company match once eligible
    • 20% discount on vitamins & supplements through Wellevate
    • Monthly happy hour and other extracurricular activities

For immediate consideration, please submit a resume and cover letter with our application form.

Please apply with a resume and cover letter. Feel free to visit our website at portlandmh.com