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 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 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. This is a full-time and in-person with a schedule of 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. Adheres to applicable regulatory guidelines and laws including but not limited to

HIPAA/HITECH, HRSA, NCQA

PCMH and OSHA. 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 to 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 CEU's. Required Qualifications High School diploma or equivalent required. Basic eligibility verification experience required. Preferred Qualifications Accounting experience preferred. Medical front desk coordinator experience preferred. Why Join 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 Billing Specialist 3.

3 3.3 out of 5 stars 610 East Emma Avenue, Springdale, AR 72764 Full-time Community Clinic 14 reviews Full-time 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 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. This is a full-time and in-person with a schedule of 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. Adheres to applicable regulatory guidelines and laws including but not limited to

HIPAA/HITECH, HRSA, NCQA

PCMH and OSHA. 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 to 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 CEU's. Required Qualifications High School diploma or equivalent required. Basic eligibility verification experience required. Preferred Qualifications Accounting experience preferred. Medical front desk coordinator experience preferred. Why Join 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