AR Claims Specialist I

Yakima Valley Farm Workers Clinic • Toppenish, WA

15h • Onsite

About The Position

This role plays a key part in the revenue cycle by researching claim issues, resolving billing errors, and ensuring compliance with payer and regulatory requirements. The AR Claims Specialist II also serves as a subject-matter resource for assigned payers and supports team training and process improvement efforts. The AR Claims Specialist contributes directly to the financial health of YVFWC by ensuring claims are processed correctly and reimbursed in a timely manner. Through diligent follow-up, payer expertise, and collaboration with billing and revenue cycle partners, this role helps reduce denials, improve workflows, and support YVFWC’s mission. Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.

Requirements

• High School diploma or GED
• Minimum six months’ experience in healthcare setting
• Experience with FQHC billing and/or coding preferred
• Strong attention to detail, analytical skills, and ability to meet deadlines
• Knowledge of medical and insurance terminology, CPT/ICD coding structures, and UB‑04/1500 claim forms
• Strong written and verbal communication skills

Nice To Haves

• Certified Revenue Cycle Representative (CRCR) preferred

Responsibilities

• Prepare and process insurance claims timely and accurately to government, commercial and managed care payers
• Review, submit and/or distribute corrected claims
• Enter appropriate account notes in Epic billing system to clarify actions taken to reconcile claims
• Resolve claim edits daily via claim edit work queues and/or our external billing software
• Verify eligibility for coverage via multiple payor websites
• Assure compliance with billing requirements for workers compensation and third-party liability claims
• Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information
• Maintain confidentiality of all patient demographics, medical and financial information at all times
• Maintains Epic Claims Work queues to department daily standard
• Maintain daily balance logs of claims sent from EMR to Clearinghouse daily to ensure all claim runs are balanced daily
• Perform other duties as assigned

Benefits

• 100% employer-paid health insurance, including medical, dental, vision, Rx, 24/7 telemedicine
• Profit sharing & 403(b) retirement plan available
• Generous PTO, 8 paid holidays, and much more!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees