Accountant 1 - Medical Billing Specialist

Initial Posting Date: 03/30/2026 Application Deadline: 04/20/2026 Agency: Oregon Youth Authority Salary Range: $4,519 - $6,904 Position Type: Employee Position Title: Accountant 1 - Medical Billing Specialist Job Description: OREGON YOUTH AUTHORITY Accountant 1 - Medical Billing Specialist Salem, OR – Equitable Center The Oregon Youth Authority is seeking an Accountant 1 – Medical Billing Specialist to provide essential financial and accounting support that ensures the accuracy, integrity, and timeliness of agency transactions and reporting. In this role, you will collaborate with staff across the organization to perform complex accounting functions, apply established methods and controls, and support informed decision-making through reliable financial data. A primary focus of this position is managing Medicaid billing processes, including targeted case management (TCM), Behavioral Rehabilitation Services (BRS), and reimbursements through the Medicaid Management Information System (MMIS). Responsibilities include reviewing and verifying medical billing codes and reimbursement rates for provider payments; tracking and maintaining documentation supporting reimbursement claims to ensure accuracy, completeness, and audit compliance; and reviewing and analyzing remittance advice from the Oregon Health Authority (OHA) to verify paid and denied claims, identify discrepancies, and ensure compliance with Medicaid requirements. As a subject matter expert in medical payment claims, you will provide guidance on billing practices, resolve discrepancies, and ensure sensitive financial and medical information is handled in accordance with OYA policy, HIPAA, and other applicable standards. This role plays a critical part in supporting expenditure recovery, fiscal accountability, and compliance while contributing to a collaborative, inclusive, and mission-driven work environment. Top Duties of the Position: Review and verify medical billing codes and reimbursement rates for payments to providers Track 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; OR A bachelor’s degree in accounting; OR Successful completion of the State of Oregon Accounting Career Mobility Program or equivalent accounting certificate program from an accredited college or university; OR 32 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 handling Experience with medical billing, including reviewing HCFA forms and ICD-10 coding Demonstrated experience with Medicaid billing requirements, specifically related to Title XIX program Demonstrated experience with financial reconciliations Demonstrated problem-solving skills, critical thinking skills, and oral and written communication skills Positive, professional, and reliable How to Apply: COVER LETTER AND RESUME REQUIRED: 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: 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. 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. Tentative Recruitment Schedule: 1st Round Interviews (virtual - Teams): April 29, 2026 2nd Round Interviews (in-person): May 6, 2026 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 every other Wednesday 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 OYA At 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 www.oregon.gov/oya. What'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. This position is represented by the Service Employees International Union (SEIU/OPEU). By joining and maintaining your membership with SEIU Local 503, the following benefits are available to you such as: $2,500 life insurance policy paid for by your union, SEIU Local 503. This policy is in effect if you are an active member. Up to $200,000 of additional life insurance can be purchased. Up to $100,000 member life, $40,000 spouse and $10,000 child is guaranteed within the first 90 days of new union membership. Short Term Disability insurance is guaranteed if purchased within the first 90 days of new union membership. Legal insurance enrollment is available to purchase within the first 90 days of new union membership. Tuition reimbursement. For more information on SEIU, please click 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 971-345-1236. 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 [email protected]. Oregon state government is a large organization by nearly any standard. With over 40,000 employees working all over the state, in small communities and large, we are proving that government can be innovative. We work as a team, challenging ourselves to be better, faster and more efficient with taxpayer dollars. After all, when every day we are responsible for caring for the needs of a diverse population and thriving business community, we simply must have the best and brightest workforce. If you take responsibility for your actions, are passionate about helping others succeed, and have a reputation for excellence and honesty, why not make Oregon state government your next career move? Joining our team means you open the door to many possibilities. From entry level to executive, outdoor work to policy setting, we have a role for nearly every calling, expertise and background. If you’re looking at us from across the country (or beyond!), know that Oregon is one of the most beautiful places on earth. Made up of seven diverse regions, Oregon has the ocean, mountains, valleys, high desert, cities, small towns, and almost everything in between. Oregon “flies with her own wings.”