Accountant 1 - Medical Billing Specialist

Initial Posting Date:06/04/2026Application Deadline:/Agency:Oregon Youth AuthoritySalary Range:$4,519.00 - $6,904.00Position Type:EmployeePosition Title:Accountant 1 - Medical Billing SpecialistJob Description:OREGON YOUTH AUTHORITYAccountant 1 - Medical Billing SpecialistSalem, OR – Equitable CenterPut your medical billing expertise to work for Oregon’s youth. The Oregon Youth Authority (OYA) is hiring an Accountant 1 – Medical Billing Specialist to manage the Medicaid billing and reimbursement that directly funds treatment and services for youth in our care. This is a hybrid role based in Salem to handle Medicaid Management Information System (MMIS) billing, Title XIX eligibility reviews, and remittance reconciliations, making sure every claim is accurate, compliant, and timely. We are looking for someone who pairs hands-on billing and coding experience (ICD-10, CMS-1500/HCFA, HIPAA) with a foundation in accounting. If you have healthcare revenue-cycle experience plus accounting coursework — or an accounting credential and the drive to master Medicaid billing — we want to hear from you. OYA offers competitive state benefits, meaningful public-service work, and a team grounded in integrity, professionalism, and equity.Top Duties of the Position:Review and verify medical billing codes and reimbursement rates for payments to providersTrack and maintain records supporting reimbursement claims, ensuring accuracy, completeness, and compliance with audit requirements.Review and analyze remittance advice from the Oregon Health Authority (OHA) to verify accuracy of paid and denied claims, identify discrepancies, and ensure compliance with Medicaid billing and reimbursement requirements.Minimum Qualifications:Possession of a Certified Public Accountant or Certified Government Financial Manager certificate; ORA bachelor’s degree in accounting; ORSuccessful completion of the State of Oregon Accounting Career Mobility Program or equivalent accounting certificate program from an accredited college or university; OR32 quarter (21 semester) credit hours in Accounting from an accredited institution AND two years of technical, para- professional accounting experience to include: a) classifying, analyzing, and reconciling financial data and records; b) designing, recommending, and installing modifications of accounting methods, procedures, forms, and records; c) preparing financial statements and reports; d) analyzing and interpreting laws, regulations, codes, and ordinances to ensure the legality of financial transactions; and e) analyzing, interpreting, and making recommendations related to accounting transactions, accounts and account relationships resulting in accounting entries.Required Skills:Ability to work with diverse groups of internal clients.Excellent attention to detail and number typing accuracy.Proficiency in Excel and other relevant software (e.g., ORMB, Epic Tapestry Membership, SharePoint).Knowledge of ICD-9/ICD-10, HCPCS, CPT coding conventions.Ability to work to tight deadlines in a fast-paced environment.Ability to maintain professionalism, confidentiality, and objectivity under pressure.Knowledge of medical terminology and regulations on the confidentiality of medical records (HIPAA).Possess an understanding of basic principles of governmental accounting and financial reporting.Ability to apply accounting theory to solve or evaluate solutions to problems and to document and communicate the application of theory.Must remain current with the capabilities of various software applications as well as other aspects of the profession by attending training/education sessions.Desired Attributes:Experience with HIPAA requirements for information handlingExperience with medical billing, including reviewing HCFA forms and ICD-10 codingDemonstrated experience with Medicaid billing requirements, specifically related to Title XIX programDemonstrated experience with financial reconciliationsDemonstrated problem-solving skills and critical thinking skillsDemonstrates reliable follow-through and clear, professional communication with internal and external partnersHow to Apply:COVER LETTER: In your cover letter, please describe your experiences, skills, and knowledge as they relate to the desired attributes of the position and explain why you are the best fit for this role. Limit your cover letter to no more than 2 pages and ensure it is in PDF format for accessibility.Ensure your application and/or resume thoroughly reflect your skills, experience (both lived and professional), knowledge, and/or education pertinent to this position, including how you meet the minimum qualifications and any/all desired attributes. Include in your resume dates of employment and descriptions of duties/responsibilities for each position.After you submit your application, please respond to the public records request authorization and gender identity questionnaire. This step will come after you submit and will complete the process. If you are an employee, the tasks will come to your Workday inbox.If you are a veteran, you may receive preference. Click here for more information about veterans’ preference. The task to claim preference will come after the public records request and gender identity questionnaire tasks. Click here for a guide on how to upload your documents. For privacy reasons, please do not attach your DD214/DD215/civil service preference letter to your application or combine it with any other required document attachments.Caution: If you fail to follow these instructions, including failing to attach a resume and cover letter as described above, we will have to disqualify your application. We cannot consider incomplete or late applications.Additional Details:Open Until Filled: This recruitment will remain open until filled. Our first application screening is scheduled for Day, 06/18/2026 at 7:30am, but we may close the announcement at any time after this date when we have received an adequate number of applications. We cannot guarantee that we will consider applications received after this screening date. We encourage interested applicants not to delay in applying.Hybrid Telework: This position is eligible for a hybrid remote work schedule; you will be required to come into the office 3-4 days per month. Employees may be required to be in the office more frequently in response to business needs. Remote work is evaluated periodically to ensure business needs are being met and can be adjusted at any time.This recruitment will be used to establish a list of qualified candidates to fill current and future vacancies.Your application materials are used to determine your starting salary range. Through an equal pay assessment, we will determine the salary offer using the information you provide in your submitted application materials. Please ensure your application materials are detailed, accurate and reflect your skills, experience (paid and unpaid) and education as they relate to the position when applying. For more information on pay equity, click here.This position is represented by the Service Employees International Union (SEIU/OPEU).The salary range listed is the non-PERS participating rate. If you are already a participating PERS member or once you become PERS eligible, the salary range will increase by 6%. Please review the Classification and Compensation page for more details.This position receives annual increases on the anniversary date until the maximum of the salary range is reached.Please save a copy of this job announcement for your reference, as it may not be available for you to view after the job closes.Would you like to learn more about this position or how our application process works? Join our Recruitment team during our OYA Career Chat Sessions on Wednesday, June 17 between 11am-11:30am PST. We can assist you with all your application and agency questions!Click Here to Register for OYA Career Chats!ABOUT OYAAt OYA, diversity, equity, and inclusion are more than just words on a page. To meet our mission and live our values as an agency, DEI must be at the heart of all we do. We support cultural competence, develop teams and cultivate leaders in ways that are equitable to everyone, especially people of color, those who identify as LGBTQ+, or those from other marginalized communities. We are explicit and intentional as we identify resources that all our youth and staff need to grow and prosper. Our DEI work connects closely with our culture of positive human development, with safe and supportive environments where everyone is held accountable and connected to their community. The end goal is to protect the public and reduce crime by holding youth accountable and providing opportunities for reformation in safe environments.If you are looking to join a team that values individual and cultural differences, with the opportunity to contribute to youth reformation by enriching our workforce with diversity, OYA wants to hear from you! People of color, women, and other members of historically marginalized communities are strongly encouraged to apply!For more information please visit 's in it for You?OYA values our employees. We believe that your time outside of the workplace is as valuable as it is inside the workplace. We offer a great work/life balance with flexible work schedules on most positions and a competitive benefits package, including low-cost, high-coverage health insurance, generous time-off, and a competitive retirement plan.Discover more about working in Oregon state government by clicking here.Additional Information:Our goal is to be a diverse workforce that is representative, at all job levels, of the citizens we are here to serve. OYA is an equal opportunity and affirmative action employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be individualized based on merit, competence, performance, and business need.We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.” The more diverse we are, the better our work will be.Applicants with a disability may request a reasonable accommodation to participate in the hiring process. For assistance regarding reasonable accommodation or for alternative format please contact OYA Recruitment at View phone number on click.appcast.io. Oregon Relay Service can be reached by calling 7-1-1.Pre-employment Checks:In keeping with our mission, OYA will conduct a criminal record check, per OAR 416 Division 800, a driving record background check and a vulnerable population abuse and neglect check. Information obtained about an individual is confidential. An individual who refuses to consent to a criminal records/background check shall be disqualified from consideration in the position for which you applied. All applicants are subject to additional pre-employment check(s) such as fingerprint based on criminal records check, pre-employment drug screening and/or education verification as required for the position.In 2003 Congress passed the Prison Rape Elimination Act (PREA), the first federal civil statue focused specifically on addressing sexual violence in juvenile facilities, jails, prisons, and other facilities. In recognition of the rights, safety, and well-being of the youth we serve you will be asked specific questions about your background to ensure our hiring and promotion practices comply with the National PREA standards.All positions in OYA will require the incumbent to serve as a "mandatory reporter" of child abuse.Visa Sponsorship:We do not offer Visa sponsorship. If you are hired, you will be required to fill out the US Department of Homeland Security’s I-9 form confirming you are able to work in the US. OYA uses E-Verify to confirm that applicants are authorized to work in the United States.Have Questions?:For questions about the job announcement, email the OYA recruitment team at View email address on click.appcast.io. #J-18808-Ljbffr