AR Claims Specialist I — Healthcare Billing & Denials

Yakima Valley Farm Workers Clinic, Inc.; Toppenish (WA); On-site; USD 27,000 - 34,000; Full time

Benefits offered by this job

Health insurance

Profit sharing

403(b) retirement plan

Paid time off

Job summary

Yakima Valley Farm Workers Clinic (YVFWC) in Toppenish, WA is seeking an AR Claims Specialist I to support the revenue cycle by researching claim issues, resolving billing errors, and ensuring payer compliance. This role processes insurance claims for government, commercial, and managed care payors and maintains Epic billing workflows.

We offer 100% employer-paid health insurance (medical, dental, vision, Rx, telemedicine), profit sharing, a 403(b) plan, generous PTO, and 8 paid holidays.

Qualifications

• High school diploma or GED required.
• Minimum six months’ experience in a healthcare setting.
• Certified Revenue Cycle Representative (CRCR) preferred.
• Experience with FQHC billing and/or coding preferred.
• Knowledge of CPT/ICD coding and UB-04/1500 forms.

Responsibilities

• Prepare and process insurance claims for government, commercial and managed care payers.
• Review, submit and/or distribute corrected claims.
• Enter account notes in Epic billing system to clarify actions taken to reconcile claims.
• Resolve claim edits daily via claim edit queues and/or external billing software.
• Verify eligibility for coverage via multiple payor websites.
• Assure compliance with billing requirements for workers compensation and third-party liability claims.
• Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
• Maintain confidentiality of all patient demographics, medical and financial information at all times.
• Maintains Epic Claims Work queues to department daily standard.
• Maintain daily balance logs of claims sent from EMR to Clearinghouse daily to ensure all claim runs are balanced daily.
• Perform other duties as assigned.

Skills

Attention to detail

Analytical skills

Deadline-driven

Written communication

Verbal communication

Education

High School diploma or GED

Tools

Epic billing system

External billing software

Job description

Yakima Valley Farm Workers Clinic (YVFWC) in Toppenish, WA is seeking an AR Claims Specialist I to support the revenue cycle by researching claim issues, resolving billing errors, and ensuring payer compliance. This role processes insurance claims for government, commercial, and managed care payors and maintains Epic billing workflows.

We offer 100% employer-paid health insurance (medical, dental, vision, Rx, telemedicine), profit sharing, a 403(b) plan, generous PTO, and 8 paid holidays.