Medical Billing & Revenue Cycle Specialist

Mainline; Sheridan (AR); Remote; USD 34,000 - 52,000; Full time

Job summary

Mainline Health Systems, Inc. in Sheridan, AR is seeking a Billing Specialist responsible for all medical and dental billing and accounts receivable activities.

The role focuses on accurate, timely billing, maximizing collections, and minimizing denials within a Patient Centered Medical Home framework. You will submit claims, collect payments, code claims, and handle Medicaid/Medicare enrollments, while supporting the care team and pursuing continuous quality improvement.

Qualifications

• Bachelor’s degree preferred and High School Diploma required.
• Certification in Medical Coding preferred.
• Certification in Dental Coding preferred.
• Two years of experience in medical billing and/or health care setting preferred.
• Working knowledge of total quality management concepts, statistical tools, and continuous quality improvement techniques.
• Experience with HRSA-funded primary care programs requirements.

Responsibilities

• Submit all claims accurately and timely.
• Collect payments in a timely manner.
• Manage patient billing and maintain acceptable collection ratios.
• Proper coding of all claims processed as needed.
• Apply for Medicaid, Medicare, and commercial insurance numbers as needed.
• Manage patient payment plans.
• Business-related travel as required.
• Participate in quality improvement practices.
• Support care team and implement workflows supporting the Patient Centered Medical Home model.
• Complete continuing education as deemed necessary by Mainline Health Systems, Inc.

Skills

HRSA knowledge

Quality improvement concepts

Statistical tools

Total quality management

Healthcare billing experience

Education

Bachelor’s degree

High School Diploma

Medical Coding certification

Dental Coding certification

Equivalent experience/education

Job description

Mainline Health Systems, Inc. in Sheridan, AR is seeking a Billing Specialist responsible for all medical and dental billing and accounts receivable activities.

The role focuses on accurate, timely billing, maximizing collections, and minimizing denials within a Patient Centered Medical Home framework. You will submit claims, collect payments, code claims, and handle Medicaid/Medicare enrollments, while supporting the care team and pursuing continuous quality improvement.