Billing Specialist at St Francis House NWA Inc

Springdale, Arkansas, United States -

Full Time

Start Date

Immediate

Expiry Date

13 May, 26

Salary

0.0

Posted On

12 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing Submission, Icd-10, Accounts Receivable Follow-up, Patient Account Customer Service, Claim Preparation, Claim Submission, Error Correction, Denial Analysis, Third Party Payer Communication, Sliding Scale Discount Procedures, Attention To Detail, Problem Solving, Financial Reasoning, Icd-9, Cpt Codes, Modifiers

Industry

Description

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 Health Centers, also known as Federally Qualified Health Centers, is a Federal designation whereby community health needs are identified and are responded to appropriately. We provide health care using a Patient-Centered Medical Home (PCMH) approach: the needs of the patient come first. 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 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: 1. Health, Vision, Dental and Life Insurance 2. 403(b) Retirement plan (automatic employer contribution of 5% per paycheck!) 3. Paid Time Off and Holidays 4. Employee Discounts for Care Monday - Friday 8:00 AM - 5:00 PM 40 Hours

Responsibilities

Key responsibilities involve preparing and submitting medical and dental claims to various payers, analyzing rejections and denials, and performing accounts receivable follow-up. The role also requires communicating with patients regarding payment issues and handling billing complaints professionally.