Medical Billing Specialist | Claims & AR Expert

ADP, Inc.; Springdale (AR); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Health, Vision, Dental and Life보험

403(b) Retirement plan

Paid Time Off and Holidays

Employee Discounts for Care

Job summary

Community Clinic is seeking a motivated Medical Billing Associate to support our in-house billing office in Springdale, AR. The role focuses on determining insurance coverage, submitting claims, and following up on accounts with accuracy and care.

Requirements include 1+ year of medical billing experience and a CPC preferred. The position is full-time, in-person, Monday–Friday, 8:00 AM–5:00 PM, with benefits and opportunities to grow within a mission-driven health system.

Qualifications

• High school diploma or equivalent required.
• 1+ year of medical billing experience required.
• Medical billing certification ( CPC ) preferred.
• Bilingual Spanish/English is preferred.

Responsibilities

• Prepares and submits medical and dental claims to Medicaid, Medicare, commercial insurance and private pay patient accounts.
• Analyzes rejected claims, corrects errors, and resubmits claims to payer for payment.
• Updates information in software on patient accounts when new information comes available.
• Posts reimbursement checks in software as received.
• Analyzes denied claims, submits corrected claims when necessary, and reports anomalies to supervisor.
• Works with third party payers on billing problems, denials and requests for information.
• Communicates with patients regarding issues affecting payment such as coordination of benefits, third party payers, Medicare replacement plans, and primary care physicians.
• Researches outstanding claims, corrects errors, communicates with payer, and resubmits for payment.
• Handles patient billing complaints professionally and expeditiously.
• Prepares financial records for release when requested and authorized.
• Has knowledge of sliding scale discount procedures and adjusts accounts as necessary.

Skills

Medical billing submission

Ability to use CPT codes

Problem solving

Attention to detail

Financial reasoning

Education

High school diploma or equivalent

Job description

Community Clinic is seeking a motivated Medical Billing Associate to support our in-house billing office in Springdale, AR. The role focuses on determining insurance coverage, submitting claims, and following up on accounts with accuracy and care.

Requirements include 1+ year of medical billing experience and a CPC preferred. The position is full-time, in-person, Monday–Friday, 8:00 AM–5:00 PM, with benefits and opportunities to grow within a mission-driven health system.