Billing Specialist

Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded in one belief: people matter. That includes our patients—and our team. Every employee plays a vital role in living out our promise: 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. This is a full-time, in-person. This position is full-time with a schedule of Monday - Friday 8:00 AM - 5:00 PM

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. 

Required Qualifications

• High school diploma or equivalent required.

Preferred Qualifications

• Medical billing certification (especially CPC) preferred.
• Bilingual Spanish/English is preferred.

Why Join Community Clinic? 

• Be a part of a mission-driven organization committed to providing access to health-care to everyone in your community! 
• Excellent Benefits Package including:
  • Health, Vision, Dental and Life Insurance
  • 403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)
  • Paid Time Off and 10 Annual Paid Holidays
  • Employee Discounts for Care