Medical Billing Specialist

firstchoicechc; Lillington (NC); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Company-Paid Medical Insurance

Dental & Vision Insurance

403(b) Retirement Plan with Employer

HRA

Paid Time Off + 11 Paid Holidays

LifeInsurance

Long and Short-Term Disability

Job summary

First Choice Community Health Centers in Lillington, NC is seeking a Medical Billing Specialist to manage billing and collections for Medicare, Medicaid, and insured/self-pay patients across medical and dental clinics. This on-site role reports to the Billing Supervisor and involves posting payments, following up on denials, and ensuring accurate coding in the EHS system.

The ideal candidate will have at least a high school diploma, 2+ years of billing experience, and a preference for an

Qualifications

• High School diploma required.
• Associates Degree in Medical Billing and Coding preferred or equivalent experience.
• Minimum of two years progressive billing experience required.
• Experience with third-party billings and denials a plus.

Responsibilities

• Provide billing information by collecting and summarizing third-party billings and payments.
• Post cash receipts and insurance payments to EHS software.
• Research and follow up on insurance denials and balance issues.
• Prepare monthly, quarterly, and annual reconciliations and reports.
• Maintain accurate ICD-9, CPT and HCPCS codes in the system.
• Cover vacancies in related roles as needed.

Skills

Familiarity with billing software

Organizational skills

Analytical skills

Attention to detail

Education

High School diploma

Associates Degree in Medical Billing and Coding

Tools

EHS software

Job description

Why Join First Choice Community Health Centers

Nestled in the heart of North Carolina, Harnett County offers a unique blend of small-town charm and convenient access to big-city amenities. Located less than an hour from both Raleigh and Fayetteville, residents enjoy the tranquility of rural living with the benefit of nearby urban excitement. At First Choice, we’re proud to offer employment opportunities in this beautiful area, giving you the chance to work in a close-knit community while staying connected to the vibrant Triangle region.With a perfect balance of peaceful + affordable living and easy access to cultural and career opportunities, Harnett County is an ideal place to call home.

Position Summary

The Medical Billing Specialist will be responsible for billing and collections for Medicare, Medicaid, Insurance, and Self Pay patients for all Medical and Dental clinics. Responsibilities of individual Billing Specialist will vary depending on assignment of responsibilities given by Billing Supervisor.

This role is on-site at our Lillington, NC office.

Benefit Offerings

• Company-Paid Medical Insurance
• Dental & Vision Insurance
• 403(b) Retirement Plan with Employer Match
• Health Reimbursement Account (HRA)
• Paid Time Off + 11 Paid Holidays
• LifeInsurance
• Long and Short-Term Disability

Essential Duties and Responsibilities

• Provides billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends. Updates job knowledge by participating in educational opportunities.
• Posting of all cash receipts and insurance payments to EHS software.
• Research and follow up on all denials for payment.
• Complete all 2nd Insurance filings.
• Review charges from daily batches and maintain monthly Deposit Journal, as needed.
• Assist Finance with reconciling EHS End of Day reports to Deposit Journal, as needed.
• Report received payments to Accounting Manager for all services to be reimbursed to Physicians.
• Cover vacancies at Patient Representative position during vacations, sickness, or vacant positions.
• Maintaining accurate ICD-9, CPT and HCPCS codes within the EHS software.
• Complete all required procedures on EHS software (i.e. End of Day, End of Month, etc.)
• Research all credit Accounts Receivable balances and perform required follow up to resolve credit balance.
• Research all Account Receivable balances and perform necessary follow up required to resolve Accounts Receivable balance issue.
• Assist in preparation of all Monthly/Quarterly/Annual reconciliations and other required reporting as required by governing agencies
• Assist Billing Manager in completion of all annual cost reports, annual financial audit, annual UDS report, and any other required annual governmental reporting.
• Other reasonable duties as required by the CEO,Billing Manager or the Board of Directors

Education and/or Experience

• High School diploma required.
• Associates Degree in Medical Billing and Coding preferred – or a combination of education and experience.
• Minimum of two years progressive billing experience required.

Other Skills and Abilities

Familiarity with effective use of computerized accounting/billing systems. Must be able to use other equipment such as a fax, copier and calculator. Good organizational skills and the ability to perform numerous tasks simultaneously in a fast-paced office environment. Good analytical skills, sticker for details, sense of personal responsibility for work performance and a professional attitude. The ability to work without constant supervision and adhere to policies and procedures is a must.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.