Medicare/Medicaid Claims Specialist

Job Details

About the role

We are seeking a detail-oriented Medical Biller to join a mission-driven Federally Qualified Health Center (FQHC) serving underserved communities. This role is responsible for accurate and timely medical billing, with a strong focus on Medicare and Medicaid claims. Dental billing experience is a plus.

Responsibilities

• Prepare, review, and submit medical (and dental, if applicable) claims to Medicare, Medicaid, and other payers
• Ensure claims are accurate, complete, and compliant with payer and FQHC guidelines
• Resolve claim denials, rejections, and payment discrepancies in a timely manner
• Post payments, adjustments, and reconcile accounts as needed
• Verify patient insurance eligibility and benefits
• Maintain accurate billing records and documentation
• Collaborate with clinical and administrative teams to resolve billing issues
• Adhere to HIPAA and organizational compliance standards

Qualifications

• 1–3 years of medical billing experience, specifically with Medicare and Medicaid
• Dental billing experience strongly preferred
• Knowledge of medical billing codes, claim forms, and reimbursement processes
• Strong attention to detail and organizational skills
• Ability to work onsite in a fast-paced healthcare environment

Requirements

• Must provide proof of vaccination or approved exemption
• Must pass background check and drug test
• Medical marijuana card is not accepted

Benefits

• Medical, Dental, and Vision benefits
• Short and Long Term Disability
• Retail Savings Plan-employer matching and 100% vesting upon enrollment
• Paid Vacation and Sick time
• Life Insurance and AD&D
• Credit Union membership
• 9 1/2 paid Holidays

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