Billing Specialist

Responsibilities

• Prepare, review, and submit claims to Medicaid, Medicare, commercial insurance, and other third-party payers in accordance with FQHC billing guidelines
• Apply correct CPT, HCPCS, ICD-10, and revenue codes, including PPS and wrap-around billing requirements
• Verify patient insurance eligibility and benefits prior to billing
• Post payments, adjustments, and denials accurately in the practice management system
• Research and resolve claim rejections, denials, and underpayments in a timely manner
• Process patient statements and respond to billing inquiries professionally and confidentially
• Maintain compliance with HRSA, CMS, Medicaid, and payer regulations
• Coordinate with clinical staff, front desk, and coding team to resolve documentation or billing discrepancies
• Maintain accurate billing records and documentation for audits and reporting
• Assist with month-end closing and revenue reporting as needed

Qualifications

• High school diploma or equivalent required; associate degree in healthcare administration or related field preferred
• 1-2 years of medical billing experience, preferably in an FQHC or community health center
• Familiarity with Medicaid, Medicare, and managed care billing, insurance portals, clearinghouses, and claims tracking tools
• Proficiency with EHR and practice management systems
• Ability to meet deadlines and manage multiple tasks
• Team-oriented with the ability to work independently
• Strong written and verbal communication skills

Competitive hourly rate starting at $22 per hour, based on experience.

Benefits include:

• Medical
• Dental
• Vision
• 401(k) retirement plan with discretionary match
• Free life insurance
• Long-term disability
• Transportation plan
• Generous paid vacations and holidays