Medical Billing Specialist
Community Clinic is a patient-directed Community Health Center, which provides affordable primary health care and supportive services to our neighbors in Northwest Arkansas. Community Clinic recognizes that every employee plays a vital role. We care. You belong.
Job Summary
Community Clinic is seeking a motivated individual to work in a fast-paced medical billing office serving multiple providers. Key responsibilities include determining insurance coverage and eligibility, reviewing diagnosis and procedure code combinations using ICD-10, preparing and submitting claims to insurance, accounts receivable follow-up, and providing excellent patient account customer service. 1+ year of medical billing experience is required. This is a full-time, in-person, Monday-Friday position.
Key Responsibilities
- Prepares and submits medical and dental claims to Medicaid, Medicare, commercial insurance and private pay patient accounts.
- Analyzes rejected claims, corrects errors, and resubmits claims to payer for payment.
- Updates information in software on patient accounts when new information comes available.
- Posts reimbursement checks in software as received.
- Analyzes denied claims, submits corrected claims when necessary, and reports anomalies to supervisor.
- Works with third party payers on billing problems, denials and requests for information.
- Communicates with patients regarding issues affecting payment such as coordination of benefits, third party payers, Medicare replacement plans, and primary care physicians.
- Researches outstanding claims, corrects errors, communicates with payer, and resubmits for payment.
- Handles patient billing complaints professionally and expeditiously.
- Prepares financial records for release when requested and authorized.
- Has knowledge of sliding scale discount procedures and adjusts accounts as necessary.
Skills
Attention to detailMedical billing submissionAbility to use CPT codes, ICD-9 and ICD-10 codes, and modifiersProblem solvingFinancial reasoningQualifications
High school diploma or equivalent required1+ year of medical billing experience requiredMedical billing certification (especially a CPC) preferredBilingual Spanish / English is preferredWhy Work at Community Clinic?
Be a part of a mission-driven organization committed to providing access to health-care to everyone in your community!Excellent benefits package including :Health, vision, dental and life insurance403(b) retirement plan (automatic employer contribution of 5% per paycheck!)Paid time off and holidaysEmployee discounts for care