Billing Specialist

• Prepare, scrub, and submit clean claims to Medicare, Medicaid, and commercial payers in a timely manner.
• Post payments, adjustments, and denials from EOBs/ERAs accurately to patient accounts.
• Verify patient insurance eligibility and benefits prior to and following visits.
• Respond to patient billing inquiries and support sliding-fee-scale documentation and application.
• Reconcile daily/weekly claim batches and identify submission errors before they become denials.
• Coordinate with front-desk and coding staff to correct demographic, coding, or authorization errors.
• Maintain accurate documentation to support monthly billing and QI/QA reporting.

• Knowledge of CPT/ICD-10 coding conventions, payer billing rules, and sliding-fee-scale requirements.
• Skill in claim scrubbing, clearinghouse submission, and payment posting with a high degree of accuracy.
• Skill in identifying and correcting demographic, coding, or authorization errors before claims are submitted.
• Ability to communicate billing information clearly and compassionately to patients.
• Ability to maintain productivity and clean-claim-rate standards under routine deadline pressure.
• Ability to work collaboratively with front-desk, coding, and clinical staff to keep claims moving smoothly.

• 2+ years of experience in medical billing or revenue cycle, preferably in an FQHC or community health setting.
• Working knowledge of CPT/ICD-10 coding, payer billing requirements, and clearinghouse claim submission.
• Experience with practice management or EHR billing systems (e.g., eClinicalWorks, NextGen, or similar).
• Strong attention to detail and comfort working within productivity and clean-claim-rate expectations.
• Certified Billing and Coding Specialist (CBCS) or similar certification a plus, not required.

Job Type: Full-Time

Benefits: