Billing Specialist
About The Position
Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central Ohio, serving one individual at a time. We are focused on whole-person wellness, available to ALL in Central Ohio who need it, regardless of ability to pay! In 2019 alone, we served over 12,000 patients - with 40% being uninsured - and totaled 50,000+ medical encounters! Operating out of seven locations, we offer medical care (primary care, dental, vision, OB/GYN, telehealth), behavioral health care, 340B pharmacy, nutritional assistance programs, and more. Working hours are Monday - Friday with occasional Saturday morning coverage. SUMMARY: The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient reimbursement for clinical services. This role reviews documentation, assigns codes, prepares and submits claims, follows up on denials, and maintains compliance with payer policies and HIPAA.
Requirements
- High school diploma or equivalent required.
- Active billing/coding certification.
- 1–3+ years of recent medical billing/coding experience in an outpatient, inpatient, or specialty setting.
- Proficiency with EHR/PM systems (e.g., Epic) and clearinghouses.
- Working knowledge of ICD-10-CM, CPT/HCPCS, modifiers, payer rules, and claims lifecycles (837/835).
- Strong understanding of denials management, aging A/R, and reconciliation.
- High attention to detail; ability to meet volume and accuracy targets.
- Excellent communication and customer service skills.
Nice To Haves
- Experience in [primary care, behavioral health, etc.]
- Familiarity with Medicare LCD/NCD guidance and state-specific Medicaid policies.
- Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Responsibilities
- Review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes.
- Prepare, scrub, and submit clean claims to commercial, Medicare/Medicaid.
- Verify insurance eligibility/benefits and obtain prior authorizations as needed.
- Monitor claims status; research, correct, and resubmit denials/edits; post payments and adjustments.
- Manage patient billing: statements, payment plans, refunds, and resolution of billing inquiries.
- Reconcile daily charges, payments, and balances; escalate discrepancies.
- Maintain current knowledge of payer policies, NCCI edits, and regulatory updates.
- Protect PHI and uphold HIPAA and organizational privacy/security policies.
- Collaborate with providers, clinical staff, and revenue cycle team to optimize documentation and reimbursement.
Benefits
- Health benefits including medical, vision, dental, life, disability
- Generous Paid Time Off
- 10 Paid Holidays
- Student loan forgiveness opportunities
- Employee Assistance Program (EAP) with access to various consultants
- 3% match toward retirement fund
- And more!
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
