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$28/hr–$31/hr
Full-time
high school, associate degree, professional certificate
Comprehensive Benefits, Competitive Compensation
Posted 2d ago
~40 hrs/week
Responsibilities
The Medical Billing Specialist is responsible for preparing and submitting accurate insurance claims to third-party payers while ensuring compliance with regulations. The role involves monitoring accounts receivable, resolving billing discrepancies, and managing patient statements to maximize reimbursement.
Requirements
Candidates must have a high school diploma and 3 to 5 years of medical billing experience, with a preference for an associate's degree or certification. Proficiency in ICD-10, CPT, HCPCS, and FQHC guidelines is required.
Full job description
Medical Billing Specialist
Location: Washington, DC Organization: Unity Health Care Employment Type: Full-Time
About Unity Health Care
Unity Health Care is one of the largest network of community health centers in the District of Columbia, providing high-quality, compassionate, and comprehensive health care services to individuals and families regardless of their ability to pay. Our dedicated team is committed to improving the health and well-being of the communities we serve through excellence in patient care, innovation, and collaboration.
Position Summary
Under the supervision of the Medical Billing Supervisor, the Medical Billing Specialist is responsible for preparing and submitting timely and accurate insurance claims to third-party payers, ensuring compliance with payer regulations and billing requirements, and verifying that payments and adjustments are accurately applied to patient accounts. This position is also responsible for conducting timely follow-up on outstanding claims, resolving billing discrepancies, and supporting revenue cycle operations to maximize reimbursement while maintaining compliance with applicable federal, state, and organizational regulations.
Key Responsibilities
Prepare and submit accurate electronic and paper insurance claims to commercial and government payers.
Review and process explanation of benefits (EOBs), remittance advice, denials, adjustments, and payment postings.
Monitor accounts receivable aging reports and perform timely follow-up on unpaid or underpaid claims.
Contact insurance carriers to resolve claim issues, payment discrepancies, and denied claims.
Research and resolve billing errors, missing information, and payer-related issues to ensure prompt reimbursement.
Process secondary and tertiary insurance claims as applicable.
Prepare and distribute patient statements while responding to patient billing inquiries professionally and accurately.
Identify overpayments and initiate appropriate refund requests.
Assist with payment posting, electronic remittance advice (ERA) processing, adjustments, and write-offs as needed.
Maintain compliance with HIPAA regulations, payer guidelines, FQHC billing requirements, and organizational policies.
Support annual financial audits and participate in departmental meetings and ongoing education.
Maintain strict confidentiality of patient and organizational information.
Perform other duties as assigned.
Minimum Qualifications
High School Diploma or GED required; Associate's degree preferred.
Completion of a medical billing or medical coding certification program preferred.
Minimum of three (3) to five (5) years of medical billing experience.
Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical coding conventions.
Experience interpreting Explanation of Benefits (EOBs) and insurance remittance advice.
Knowledge of billing regulations, payer requirements, and Federally Qualified Health Center (FQHC) guidelines.
Proficiency with Microsoft Office Suite, including Excel and Word, and strong computer and data entry skills.
Excellent analytical, organizational, problem-solving, and communication skills.
Ability to manage multiple priorities, work independently, and collaborate effectively in a team environment.
Why Join Unity?
At Unity Health Care, you'll become part of a mission-driven organization dedicated to making quality health care accessible to all. We offer a collaborative work environment, opportunities for professional growth, comprehensive benefits, competitive compensation, and the chance to make a meaningful impact in the communities we serve. Join a team that values excellence, diversity, integrity, and compassionate patient care.
Related keywords
Medical BillingMedical CodingICD-10-CMCPTHCPCSEOBRemittance AdviceAccounts ReceivableFQHCHIPAARevenue CycleInsurance ClaimsMicrosoft OfficeExcelWordHealthcare Administration
Unity Health Care reaches people wherever they are to provide compassionate, comprehensive, high-quality health care that is accessible to all and advances health equity in Washington, DC.
As the largest network of community health centers in the District, our team of compassionate and multicultural health professionals place Unity values into action every day to bring whole-person care and wellness to nearly 85,000 patients through 405,000 visits annually through our network of over 20 traditional and non-traditional health sites and a mobile medical outreach vehicle.
Offices: 1220 12th St, SE, Washington, DC 20003, US
Primary CareHomeless Health CareCase ManagementPreventive MedicineBehavioral HealthFamily PlanningFamily PracticeObstetrics/Gynecologyand PediatricsHospital
Unity Health Care reaches people wherever they are to provide compassionate, comprehensive, high-quality health care that is accessible to all and advances health equity in Washington, DC.
As the largest network of community health centers in the District, our team of compassionate and multicultural health professionals place Unity values into action every day to bring whole-person care and wellness to nearly 85,000 patients through 405,000 visits annually through our network of over 20 traditional and non-traditional health sites and a mobile medical outreach vehicle.
Offices: 1220 12th St, SE, Washington, DC 20003, US
Primary CareHomeless Health CareCase ManagementPreventive MedicineBehavioral HealthFamily PlanningFamily PracticeObstetrics/Gynecologyand PediatricsHospital