Billing Specialist

Job description

Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded in one belief: people matter. That includes our patients—and our team. Every employee plays a vital role in living out our promise: 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 8:00 AM - 5:00 PM 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 detail
• Medical billing submission
• Ability to use CPT codes, ICD-9 and ICD-10 codes, and modifiers
• Problem solving
• Financial reasoning

Qualifications
• High school diploma or equivalent required
• 1+ year of medical billing experience required
• Medical billing certification (especially a CPC) preferred
• Bilingual Spanish/English is preferred

Why 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 Insurance
• 403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)
• Paid Time Off and Holidays
• Employee Discounts for Care

Monday - Friday 8:00 AM - 5:00 PM
40 - Hours