Job Description

Medical Billing Specialist 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 patientsand our team. Every employee plays a vital role in living out our promise: We care. You belong. Community Clinic is seeking a motivated individual to work in a fast-paced Medical Billing office located in Springdale, AR. 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, hourly, and in-person. The schedule for this position is Monday-Friday 8:00 AM - 5:00 PM. 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: Proficient knowledge of computer software such as Microsoft Office Software. Attention to detail and high level of organization Able to perform proficiently on current practice management system and/or electronic medical records, as well as billing related software and web-based applications. Ability to work and function independently and within a team. Strong interpersonal skills and the ability to work effectively with people of all backgrounds. Engages in professional development activities, such as trainings and CEUs. Required Qualifications: High School diploma or equivalent required. Basic Eligibility Verification experience required Bilingual (Spanish/English or Marshallese/English) is a preferred. Knowledge of CPT codes, ICD-9 and ICD-10 codes, and modifiers is a preferred. Medical billing certification (especially a CPC) is a preferred CPC Certificate is preferred Preferred Qualifications: Bilingual (Spanish/English or Marshallese/English) is a preferred. Accounting experience preferred Medical front desk coordinator experience 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

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