Medical Billing and Insurance Coordination

The contract requires comprehensive medical billing and insurance coordination services, with a strict mandate to bill primary and secondary insurance before pursuing county billing for eligible patients. The provider must manage the full lifecycle of claims, including accurate submission, tracking, adjustments, and patient invoicing, all aligned with the HRSA sliding fee scale and federal poverty level–based discount structures to ensure affordability and compliance. Services must be delivered with precision to reflect income-based patient eligibility and maintain financial integrity across multiple payer sources. This subcontract, posted by Multnomah County in Oregon under NAICS code 561400, is open for responses until August 19, 2026, and is designed to support healthcare access for low-income populations by integrating federal eligibility guidelines into billing operations. The work will be performed in alignment with county health services requirements, though specific performance location details are not provided. All invoicing and adjustments must reflect transparent, standardized discounts based on FPL thresholds to facilitate equitable care delivery while ensuring proper reimbursement sequencing and regulatory compliance.