Billing​/Accounts Receivable Specialist

Clinical Billing Specialist — Job Description (No Insurance Responsibilities)

The Clinical Billing Specialist is responsible for accurately managing patient billing, coding, and payment processing within the clinic’s revenue cycle. This role ensures timely invoicing, proper documentation, and efficient financial workflows while partnering closely with clinical and administrative staff.

• Prepare and submit patient invoices promptly and accurately.
• Review clinical documentation to ensure correct CPT, ICD-10, and HCPCS coding.
• Process patient charges, adjustments, refunds, and account updates.
• Post payments received from patients or third‑party payment programs (non‑insurance).
• Maintain accurate financial records and ensure all billing data is up to date.

• Communicate with patients regarding statements, balances, and payment options.
• Provide clear explanations of charges, clinic fees, and financial policies.
• Set up and manage patient payment plans as needed.
• Respond to patient billing inquiries in a professional and timely manner.

• Ensure all billing activity complies with clinic policies, HIPAA requirements, and healthcare documentation standards.
• Work with clinicians to verify that services rendered are documented clearly and accurately.
• Maintain organized billing files and ensure data confidentiality.

• Reconcile daily billing reports and ensure accuracy of transactions.
• Identify discrepancies or billing errors and take corrective action.
• Assist with month‑end financial reporting related to billing performance.
• Support continuous improvement initiatives related to the clinic’s revenue cycle.

• High school diploma or equivalent.
• 1–2 years of medical billing, healthcare administration, or related experience.
• Strong understanding of medical terminology and coding (CPT, ICD-10, HCPCS).
• Strong attention to detail, accuracy, and time management.
• Proficiency with EHR/EMR systems and billing software.
• Excellent communication and customer service skills.

• Certification in medical billing or coding (e.g., CPC, CPB, CBCS).
• Experience working in a clinical or outpatient setting.
• Familiarity with cash posting or patient financial services.

• Full Time
• On‑site