What are the responsibilities and job description for the Medical Billing & Accounts Receivable Specialist position at Idaho Arthritis Center?
Idaho Arthritis Center is seeking a Medical Billing & Accounts Receivable Specialist to support billing follow-up and patient account management in collaboration with our third-party billing company.
Our physicians provide comprehensive care for patients with rheumatic diseases, including rheumatoid arthritis, lupus, gout, osteoarthritis, and osteoporosis. This position helps ensure timely claim resolution and accurate patient accounts, with a particular focus on infusion services.
Primary Responsibilities
- Work closely with our third-party billing company to investigate and resolve outstanding claims, denials, underpayments, and other billing issues.
- Help review infusion claims that remain unpaid after 45 days and coordinate appropriate follow-up.
- Review explanations of benefits (EOBs), research payment discrepancies, and follow up with insurance payers to resolve outstanding balances.
- Assist the billing company with diagnosis code questions, insurance information, and claim documentation, coordinating with clinical staff when needed.
- Review and process patient account credits and coordinate refunds according to clinic policies.
- Provide day-to-day electronic medical record (EMR) support to staff, including troubleshooting and assistance with billing-related workflows.
- Document follow-up activity and track unresolved issues through completion.
- Identify recurring billing issues and recommend process improvements.
- Communicate professionally with patients, physicians, coworkers, insurance representatives, and billing company staff.
- Maintain confidentiality of patient and clinic information.
- Provide coverage at our Caldwell clinic as needed.
Required Qualifications
- At least two years of medical billing experience involving insurance accounts receivable, denials, EOB review, and payer follow-up.
- Experience using an EMR system.
- Strong computer skills and attention to detail.
- Ability to investigate billing discrepancies and manage outstanding issues through resolution.
- Strong written and verbal communication skills.
- Ability to prioritize responsibilities, work independently, and collaborate with clinic staff and an external billing team.
Preferred Qualifications
- Infusion or specialty medical billing experience.
- NextGen EMR and practice management experience.
- Experience processing patient account credits and refunds.
- Experience providing EMR support or training to coworkers.
Compensation
$25.00–$30.00 per hour, depending on relevant experience and qualifications.
Job Type: Full-time
Pay: $22.00 - $30.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Medical billing: 1 year (Required)
- A/R: 1 year (Required)
Work Location: In person
Salary : $22 - $30