What are the responsibilities and job description for the Medical Billing Specialist position at Community Clinic?
Siloam Springs, AR
Job Summary
Community Clinic is seeking an experienced medical biller 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, collections follow-up, and providing excellent patient customer service. This position is full-time, Monday through Friday. Certified Professional Coder (CPC) preferred.
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 Community Clinic’s sliding scale discount procedures and adjusts accounts as necessary.
Qualifications
- High School diploma or equivalent required.
- 2 Experience in medical billing or coding is required.
- Certified Professional Coder preferred
- Bilingual (Spanish/English or Marshallese/English) is a plus.
- Knowledge of CPT codes, ICD-9 and ICD-10 codes, and modifiers is a plus.
Why Join Community Clinic?
- Be a part of a mission driven organization providing comprehensive health care to everyone in your community, regardless of their financial or medical situation!
- Automatic 5% contribution to employee retirement plan, no match required!
- Competitive pay, PTO, and 10 annual paid holidays!
