MEDICAL BILLING SPECIALIST-CA

MAKE A DIFFERENCE AT OCHIN

OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities.

We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone.

At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values.

Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees' entire well-being by fostering a healthy work-life balance and opportunity for professional advancement. We are curious, collaborative learners who strive to live our values every day. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.

Position Overview:

The Billing Specialist provides accurate and timely revenue cycle and account management services to OBS member clients. This role requires strong attention to detail, analytical thinking, technical skills and communication skills to deliver high-quality customer service and support members' financial health. The specialist will contribute to OCHIN's key performance indicators by identifying and resolving claims issues, maintaining compliance with payer requirements, and engaging in continuous process improvement.

A billing specialist may provide high-quality billing and customer service support to OCHIN Billing Services (OBS) member clinics and their patients, with responsibilities that may include managing self-pay accounts and customer inquiries or handling daily claims production, including printing, mailing, and preparing documentation for clean claim submission.

Essential Functions:

• Execute Accurate and Compliant Billing Operations: Process claims, manage accounts receivable, and maintain documentation in compliance with payer guidelines and OCHIN systems.
• Resolve Billing Issues and Support Financial Outcomes: Investigate and resolve claim denials, identify trends, and contribute to process improvements that enhance reimbursement outcomes.
• Collaborate with Internal Partners and Stakeholders: Communicate effectively with team members and stakeholders to clarify billing requirements and contribute to a cooperative work environment.
• Organize and Prioritize Daily Responsibilities: Use OCHIN tools and processes to track deadlines and plan billing activities for timely and efficient task completion.
• Apply Healthcare and System Knowledge: Demonstrate foundational understanding of the U.S. healthcare system and apply knowledge of OCHIN solutions to billing operations.
• Other duties as assigned.

Requirements

• Experience in billing and / or coding revenue cycle experience preferred.
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge preferred.
• Experience billing for California highly preferred.
• FQHC Experience and knowledge preferred.
• California Billing experience preferred.
• Medical Billing Certification from the American Academy of Professional Coders (AAPC), preferred.
• For Acute Care hospital work, rural hospital experience is required.
• Prior to moving forward to the team interview, all candidates are required to complete a 50-60-minute competency assessment. The assessment gives us insights into how your strengths, preferences, and work style align with the OCHIN's nine core competencies. It's not about passing or failing-it's about understanding fit and setting you up for success.

Work Location and Travel Requirements

OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many of our positions also support our member organizations on-site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.

Work from home requirements are:

• Ability to work independently and efficiently from a home office environment
• High Speed Internet Service
• It is a requirement that employees work in a distraction free workplace
• Travel required up to 20% nationally for on-site Go Live support based on business requirements for OCHIN
• (OR) Travel may be required nationally based on business requirements for OCHIN

We offer a comprehensive range of benefits. See our website for details: Vaccination Requirement

To keep our colleagues, members, and communities safe, OCHIN requires all employees-including remote employees, contractors, interns, and new hires-to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.

Physical Requirements/Work Environment:

• Constant interpersonal skills, teamwork, and customer service. Frequent creativity, mentoring, presentations/teaching. Occasional decision making and independent judgment or action.
• Reading, speaking, writing, and understanding English.
• While performing the duties of the job, the employee is regularly required to sit for long periods of time; stand and walk; use hands to finger, handle or feel; reach with hands and arms.
• This position requires a virtual home-office environment, working remotely and will require that employees be on camera for all virtual meetings.
• The role routinely uses standard office equipment such as computers and mobile devices.

Equal Opportunity Statement

OCHIN is proud to be an equal opportunity employer. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills for the benefit of our staff, our mission, and the communities we serve.

As an Equal Opportunity and Affirmative Action employer, OCHIN, Inc. does not discriminate on the basis of race, ethnicity, sex, gender identity, sexual orientation, religion, marital or civil union status, age, disability status, veteran status, or any other protected characteristics. All aspects of employment are based on merit, performance, and business needs.

Base Pay Overview

OCHIN uses broadened pay bands to support equitable and market-aligned compensation practices. The final offer will be based on a variety of factors, including relevant skills, certifications, education, experience, training, responsibilities, internal equity, and market data.

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Salary Description

$20.48 - $32.77 per hour