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/coding experience is required.

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.

Qualifications

• High School diploma or equivalent required.
• 1+ year of medical billing/coding experience required.
• Bilingual (Spanish/English or Marshallese/English) is a plus.
• Knowledge of CPT codes, ICD-9 and ICD-10 codes, and modifiers is a plus.
• Medical billing or coding certification (especially a CPC) 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!

2 annual bonus opportunities (up to $1000 per opportunity)