Billing Specialist at St Francis House NWA Inc

Springdale, Arkansas, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Jul, 26

Salary

0.0

Posted On

03 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical billing, ICD-10 coding, CPT coding, Insurance claims submission, Accounts receivable, Customer service, Microsoft Office, Electronic medical records, Practice management systems, Eligibility verification, Denial management, Financial record preparation, Interpersonal skills, Attention to detail, Organization

Industry

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

Responsibilities

The Billing Specialist is responsible for determining insurance coverage, preparing and submitting medical claims, and managing accounts receivable. They also handle claim denials, communicate with third-party payers, and provide customer service to patients regarding billing inquiries.