Clinic Billing Specialist

CommonSpirit Health; Hot Springs, Northern (AR, KY); Hybrid; USD 36,000 - 54,000; Full time

Job summary

CHI St. Vincent, part of CommonSpirit Health, is seeking a Clinic Billing Specialist in Arkansas. You will register patients, post daily charges, and manage insurance claims to keep the revenue cycle moving. We have a dedicated team and offer benefits consistent with a large health system.

You will review payments and adjustments, respond to patient inquiries about coverage, assist with payments, monitor denials to maximize reimbursement, and obtain authorizations.

Qualifications

• High School Diploma or GED required.
• Minimum of one year of experience in a clinical or general business office.

Responsibilities

• Register patients, post daily charges, and reconcile payments and adjustments.
• Process and submit insurance claims; monitor denials for resubmission and maximize reimbursement.
• Respond to patient inquiries regarding coverage and balances; assist with payments and billing questions.
• Obtain authorizations and manage medical records; assist providers with billing forms and insurance bulletins.

Education

High School Diploma or GED

Job description

Job Summary and Responsibilities

As a Clinic Billing Specialist, you will manage various aspects of clinic billing. This includes registering patients, preparing/posting daily charges, and processing insurance claims. Every day, you will review and post payments and adjustments from various sources, balancing daily operations and cash. You will respond to patient inquiries regarding coverage and balances, assist with payments, and monitor denied claims to ensure maximum reimbursement. Your responsibilities include researching patient complaints, processing claims for resubmission, and monitoring specific programs. You will assist providers with forms, review insurance correspondence, and implement changes from bulletins. Additionally, you will obtain authorizations, photocopy medical records, correct addresses on returned mail, and act as a back-up for colleagues. To be successful in your role, you will meticulously manage all aspects of clinic billing, from patient registration and daily charge posting to insurance claim submission and payment reconciliation. You will demonstrate exceptional attention to detail in processing complex insurance documentation (EOBs, remittances), proactively resolving denied claims, and serving as a vital resource for patients, providers, and internal departments regarding billing issues and coverage, thereby optimizing revenue cycle efficiency and ensuring customer satisfaction.

• Registration & Billing: Register patients, prepare and post daily charges, and reconcile payments and adjustments.
• Insurance Management: Process and submit claims, monitor denials for resubmission, and interpret insurance correspondence (EOBs/remittances) to ensure maximum reimbursement.
• Patient Support: Respond to inquiries regarding coverage and balances, assist with payment processing, and resolve billing complaints.
• Clerical & Administrative: Obtain authorizations, manage medical records, update patient information, and assist providers with billing forms and insurance bulletins.

Job Requirements

• Education: High School Diploma or GED.
• Experience: Minimum of one year of experience in a clinical or general business office.

Where You'll Work

CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4,500 coworkers, 1,000 medical staff, and 500 volunteers, we consistently receive praise for care advancements.

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.