Medical Billing & Revenue Cycle Specialist

Mainline Health Systems, Inc; Sheridan (AR); On-site; USD 36,000 - 48,000; Full time

Job summary

Mainline Health Systems, Inc. is seeking a Billing Specialist to manage all medical and dental billing and accounts receivable activities. You will submit claims, pursue timely payments, and maintain billing accuracy to maximize cash flow.

The role requires compliance with insurance rules and ongoing quality improvement initiatives within a Patient Centered Medical Home framework. You will work under the Director of Revenue Cycle in Administration, with a schedule from 8 a.m. to 5:30 p.m.

Qualifications

• Bachelor's degree preferred; high school diploma required.
• Medical coding certification preferred; dental coding certification preferred.
• Two years of experience in medical billing or healthcare setting preferred.
• Experience with total quality management concepts and continuous quality improvement is desirable.
• Experience with HRSA-funded primary care programs is a plus.

Responsibilities

• Responsible for the timely and accurate submission of all claims assigned.
• Responsible for collection of all payments in a timely manner.
• Responsible for all patient billing and maintaining acceptable collection ratios.
• Responsible for the proper coding of all claims processed as needed.
• Responsible for applying for all Medicaid, Medicare, and Commercial Insurance numbers as needed.
• Responsible for all patient payment plans.
• Business travel as required.
• Participates in quality improvement practices.
• Act as additional administrative support to the care team; supporting workflows that sustain the Patient Centered Medical Home model.
• Willingness to attend continuing education related to this position.
• Completion of continual job training processes.
• Performs other duties as directed by the Director of Revenue Cycle.

Skills

Medical billing experience

Education

Bachelor's degree preferred

High School Diploma required

Medical Coding Certification preferred

Dental Coding Certification preferred

Job description

Mainline Health Systems, Inc. is seeking a Billing Specialist to manage all medical and dental billing and accounts receivable activities. You will submit claims, pursue timely payments, and maintain billing accuracy to maximize cash flow.

The role requires compliance with insurance rules and ongoing quality improvement initiatives within a Patient Centered Medical Home framework. You will work under the Director of Revenue Cycle in Administration, with a schedule from 8 a.m. to 5:30 p.m.