Medical Billing Specialist

Medical Billing Specialist

Ohio Hills Health Centers (OHHC) is seeking a dedicated, detail-oriented Medical Billing Specialist to join our revenue cycle management team. This full-time position is central to supporting our mission of delivering affordable, high-quality primary medical, dental, and behavioral health care across Eastern Ohio.

As a Federally Qualified Health Center (FQHC), OHHC provides a stable, purposeful work environment where your effort directly impacts the communities of Belmont, Guernsey, Harrison, and Monroe counties.

Position Overview

· Job Title: Medical Billing Specialist

· Position Type: Full-Time

· Location: Barnesville, OH (Main Administrative Office)

· Reports To: Revenue Cycle Manager

Core Responsibilities

The Medical Billing Specialist ensures the financial health of our organization by managing daily revenue cycle workflows. Key responsibilities include:

· Routine Medical Billing Procedures: Process, review, and submit clean claims to Medicaid, Medicare, commercial insurance plans, and our sliding-fee scale patient accounts. Ensure all coded procedures match compliance and organizational guidelines.

· Claims Reconciliation: Routinely verify and match billed amounts against insurance payments (Explanation of Benefits/Electronic Remittance Advices) and internal patient ledger records to ensure precise account balancing.

· Claims Denial Management: Proactively track, investigate, and appeal denied or rejected claims. Identify denial patterns, resolve submission errors, and resubmit corrected claims timely to maximize revenue recovery.

· Provider & Patient Support: Collaborate with clinical staff to resolve documentation discrepancies and assist patients with complex billing inquiries or sliding-fee updates.

Qualifications & Requirements

· Experience: Minimum of 2 years of proven experience in medical billing, revenue cycle management, or insurance claim processing. Experience working within an FQHC environment is preferred but not required.

· Technical Skills: Proficiency with Electronic Medical Records (EMR) and specialized medical billing software platforms.

· Knowledge Base: Deep understanding of ICD-10, CPT, and HCPCS coding structures, medical terminology, and regional insurance claim submission guidelines.

· Core Competencies: Exceptional attention to detail, sharp analytical troubleshooting skills for denial resolution, and excellent communication habits.

Why Work at OHHC?

· Community Impact: Be part of a mission-driven team dedicated to providing accessible healthcare options for everyone, regardless of their income or insurance status.

· Recognition: Work for an organization recognized by HRSA for outstanding achievement in health information technology and comprehensive quality of care.

· Benefits: Competitive compensation packages alongside stable, regional employment.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person

Salary : $34,320 - $44,243