Billing Specialist II

We are seeking a Medical Billing Specialist II to join our team!

Rocking Horse Community Health Center (RHCHC) is a Federally Qualified Health Center (FQHC) that provides healthcare services to some of the area’s most vulnerable populations.

This position is responsible for managing more complex billing functions, including claim resolution, denial management, and payer-specific requirements. This role requires the ability to independently analyze and resolve billing issues while supporting overall cash flow and compliance. Key responsibilities include review, prepare and submit complex medical claims, conduct detailed account follow-up with insurance companies for proper reimbursement, identify causes of denials, post payments, adjustments and maintain detailed and compliant account notes for all billing activity.

This is a possible hybrid remote position.

We offer a generous compensation package;
Medical, Dental & Vision benefits, Company paid life, LTD insurance, and the potential to earn and accrue up to 4 weeks of PTO per year along with 10 paid holidays.

RHCHC is located within walking distance of downtown Springfield, which offers a wonderful variety of locally owned & operated eateries, bakeries & coffee shops. Springfield is centrally located between Dayton & Columbus, which offers a high quality of life, and low cost of living in Southwestern Ohio. Clark County has excellent school systems and is home to Clark State College and Wittenberg University.

To apply , and learn more about our mission driven organization, please visit our website kinghorsecenter.org. All inquiries are confidential.

Position Info:

Position Title:

Medical Billing Specialist IIPrimary Service Center:
Springfield, Ohio (South Limestone Location)
FLSA Status:
Non-Exempt – Hourly position

Work Hours:

Full-time position

Education Requirements:

High school diploma or (GED) required, associate’s degree or certification in medical billing/coding is a plus.
4 to 6 years of experience in medical billing, revenue cycle, or healthcare finance is preferred.

Proficiency with CPT, ICD-10, and HCPCS coding systems is required.

Ability to work independently and manage a high-volume workload.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

High school diploma or equivalent required; associate degree or certification in medical billing/coding preferred4-6 years of experience in medical billing, revenue cycle, or healthcare finance

Strong knowledge of insurance guidelines, claim lifecycle, and reimbursement processes

Proficiency with CPT, ICD-10, and HCPCS coding systems

Experience with EHR/EMR systems and billing software

Ability to work independently and manage a high-volume workload

Strong analytical, problem-solving, and organizational skills

Excellent communication skills for payer and internal interactions

Preferred

Skills:

Experience with denial management and appeals processes

Familiarity with multiple payer types (Medicare, Medicaid, commercial insurance)
Ability to identify trends and suggest process improvements

Knowledge of clearinghouses and electronic claim submission systems

Basic reporting and Excel skills for tracking and analysis

Work Environment:
In Office/possible hybrid remote. Productivity, quality, and turnaround time expectations apply. May handle escalated and high-priority accounts.

Language

Skills:

Ability to read and comprehend simple instructions, short correspondence and memos. Ability to write simple correspondence. Ability to effectively…