Patient Financial Services Specialist

Job Description

Job Description

Community Clinic is a patient-directed Community Health Center, which provides affordable primary health care and supportive services to our neighbors in Northwest Arkansas. Community Health Centers, also known as Federally Qualified Health Centers, is a Federal designation whereby community health needs are identified and are responded to appropriately. We provide health care using a Patient-Centered Medical Home (PCMH) approach : the needs of the patient come first. Community Clinic recognizes that every employee plays a vital role. We care. You belong.

Job Summary

Community Clinic is seeking a motivated individual to work in a fast-paced Medical Billing office serving multiple providers. Key responsibilities include determining insurance coverage and eligibility, reviewing diagnosis and procedure code combinations using ICD-10, preparing and submitting claims to insurance, accounts receivable follow-up, and providing excellent patient account customer service. 1+ year of medical billing experience is required. This is a full-time, in-person, Monday-Friday position.

Key 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.

Qualifications

Skills

Why Work at Community Clinic?

Monday-Friday 8 : 00a-5 : 00p

40