Patient Financial Services Specialist
2 weeks ago
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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 SummaryCommunity 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.
- High school diploma or equivalent required
- 2+ year of medical billing experience required
- Medical billing certification (especially a CPC) preferred
- Bilingual Spanish/English is preferred
- 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, time-off, and paid holidays
- 2 Annual bonus opportunities worth up to $1000 each
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