Billing Specialist at Caring for Family of Companies – Redmond, Oregon

Job Summary

The Billing Specialist is responsible for the accurate and timely billing of services across multiple payer sources, ensuring compliance with program requirements and company guidelines. This role manages billing processes, tracks Client authorizations and works closely with internal teams to resolve billing issues or denials. The Billing Specialist helps maintain accurate financial records while supporting efficient operations and a positive experience for Clients and partners.

Key Responsibilities

• Process weekly billing for Medicaid/MMIS services and enter in MMIS system
• Process weekly billing for Long Term Care Insurance (LTCI)
• Process weekly billing for Veterans Affairs and related programs
• Process weekly billing for Private Pay Clients and prepare invoices
• Process monthly billing for Oregon Project Independence (OPI) Clients
• Process weekly billing for PACE Clients
• Enter, process and track Client authorizations and coordinate with Medicaid case managers as needed
• Review billing for accuracy, identify denials or discrepancies and coordinate with the appropriate team members to resolve and reprocess claims when necessary
• Support month-end and year-end close by ensuring billing is completed accurately and within established deadlines

Essential Job Functions (Required to perform with or without reasonable accommodation)

1. Maintain regular, reliable and predictable attendance
2. Strong interpersonal skills and ability to work effectively with others
3. Respond promptly and professionally to business needs, Client concerns, Caregiver issues, and operational disruptions
4. Maintain accurate, timely and compliant records and documents
5. Exercise sound judgment, problem-solving, and decision-making skills
6. Communicate clearly and professionally with Caregivers, Clients, families, and internal teams
7. Adhere to all Company policies, confidentiality rules, safety requirements and regulatory obligations including HIPAA
8. Work effectively in fast-paced, dynamic environment, adjusting to shifting priorities and performing the critical day-to-day duties independently with minimal supervision

Education and Experience

• High school diploma or equivalent required; associate’s degree in accounting, business administration, or a related field preferred
• Two to three years of billing, accounts receivable, or healthcare billing experience required
• Experience with multiple payer sources such as Medicaid/MMIS, Private Pay, Long Term Care Insurance, VA programs, or similar strongly preferred
• Demonstrated ability to maintain accurate, timely, and compliant records
• Proficiency with billing software and Microsoft Excel

Working Conditions

• Ability to remain in a stationary position for extended periods (office environment)
• Ability to operate standard office equipment or tools required for the position
• Ability to move about the work area

Work Location: 2659 SW 4th St., Redmond, OR 97756

Work Hours: Monday – Friday, 8am – 5pm

Supervisory Responsibilities: No

Required Travel: No

About Us

At Caring for Others, our mission is to bring compassionate, life-affirming support into every home, helping people maintain the independence and dignity they deserve. Since 2007, we have provided high-quality care for aging and disabled adults, ensuring that golden years stay golden. We’re committed not only to the Clients we serve but also to the Employees who make that care possible, fostering a supportive, people-focused workplace.

Benefits

• Paid Time Off
• Paid Holidays
• Medical – Generous Allowance for Employee and Dependents
• Dental – Company Paid for Employee
• Vision – Company Paid for Employee
• Employee Assistance Plan – Company Paid
• Voluntary Benefits - LTD, Life, Accident and more
• 401k with Company match

Disclaimer
The above information in this description has been designed to indicate the general nature and level of work performed by Employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of Employees assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties and responsibilities to this job at any time.

Caring for Others is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.