Billing & Collections Specialist

Aria Community Health Center; Lemoore (CA); On-site; USD 42,000 - 61,000; Full time

Benefits offered by this job

403(b) matching

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid Holidays

Vacation Pay

Sick Pay

Job summary

Aria Community Health Center is seeking a Billing & Collections Specialist to manage billing, follow-up, and collections across Medicare, Medi-Cal, Blue Cross, and other carriers. The role requires accurate data verification, posting payments, and resolving routine billing inquiries to ensure timely reimbursement.

Candidates should have basic knowledge of ICD-10/CPT codes and billing systems, with 1–2 years of experience.

Qualifications

• Strong attention to detail with ability to solve problems.
• Knowledge of ICD-10 and CPT coding.
• 1-2 years of medical billing experience preferred; familiarity with insurance programs.

Responsibilities

• Bills insurance carriers after verifying patient accounts and insurance data.
• Follow up on balances due from carriers and pending/denied claims.
• Record payments and adjustments in the computer system; reconcile input.
• Audit charges from clinic sites and maintain billing manuals.
• Support admission and discharge clerical functions as needed.

Skills

Detail oriented

Problem solving

ICD-10/CPT codes

1-2 years billing experience

Education

High school diploma or equivalent

Tools

NextGen EHR

Job description

At ACHC, we are committed to improving the health and well-being of our communities. As a Federally Qualified Health Center and licensed primary care clinic, we provide comprehensive medical and dental services, along with specialized care in Chiropractic, Internal Medicine, Neurology, Pediatrics, Psychology, Podiatry, and Optometry. With clinics located across Fresno, Kings, and Tulare counties, our team works together to deliver accessible, high-quality care to every patient.SUMMARYThe Billing & Collections Specialist performs billing, follow-up and collection procedures, including review and clarification of patient accounts against program provisions (e.g., Medicare, Medi-Cal, Blue Cross, etc.). Resolves routine patient billing inquiries and problems. Oversees the Admission and Discharge clerical functions, and covers those areas as needed. Must have strong working knowledge of computer systems.EXAMPLES OF TASKSFollowing prescribed procedures, bills insurance carriers for appropriate payments after performing the necessary verification of patient accounts and insurance data for completeness and accuracy as dictated by carrier procedures and provisions (e.g. Medicare, Medi-Cal, Blue Cross, etc.).Audits charges received from clinic sites.Interprets insurance program procedures and provisions in solution of routine patient billing inquiries and problems.Performs follow-up on balances due from carriers.Follow up on pending/denied claims, correcting and rebilling claims, posting payments and working aging.Following prescribed procedures, may record patient identification data and physician diagnosis, etc.Will record all payments and adjustments to computer systems and reconcile input as appropriate.Will update and maintain billing and provider manuals in a timely fashion.Will inventory supplies and anticipate needed supply items.Performs other routines and duties as requested.SKILLSQualified candidates will be detail oriented, have strong problems solving skills, and a working knowledge of ICD-10, and CPT codes.EXPERIENCE & EDUCATIONWorking knowledge of NextGen EHR is desirable.High school or equivalent1 to 2 years of experienceLICENSURE & CERTIFICATIONCertified in Medical Assisting or Billing is preferredPHYSICAL/COGNITIVE REQUIREMENTSThe physical and cognitive demands listed below represent essential functions of this position and are required with or without reasonable accommodation:Hearing: Sufficient to engage with patients and staff in person and by telephone.Speaking: Clear verbal communication to convey medical and operational information.Vision: Visual acuity adequate for reading printed materials and viewing electronic screens.Cognitive Abilities: Aptitude to complete tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for decision-making, problem-solving, and comprehending.Motor Function & Mobility:Ability to move within the work environment to complete tasks and interact with others.Occasional lifting and carrying of items up to 10 pounds without assistance.Frequent standing, sitting, bending, reaching, and other movements typical of a standard workday.Regular use of hands and fingers for typing, writing, operating tools or equipment, and handling materials.Some pushing and pulling required during daily tasks.The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.BENEFITS403(B) matchingMedical InsuranceDental InsuranceVision InsuranceLife InsurancePaid HolidaysVacation PaySick PayEEO Statement:Aria Community Health Center is an equal opportunity employer and does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.Aria Community Health Center participates in E-Verify.