Ar Claims Specialist
Listed on 2026-07-27
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Healthcare
Medical Billing and Coding, Healthcare Administration, Medical Records, Healthcare Compliance
Location: Wapato
Ar Claims Specialist I - $19.76 - 24.21/hr (98948)
Join our team at YVFWC as an AR Claims Specialist I in Toppenish, WA! This role plays a key part in the revenue cycle by researching claim issues, resolving billing errors, and ensuring compliance with payer and regulatory requirements. The AR Claims Specialist contributes directly to the financial health of YVFWC by ensuring claims are processed correctly and reimbursed in a timely manner.
- Position Highlights: 1.0 FTE (40 hours per week) $19.76-$24.21/hour DOE with the ability to go higher for highly experienced candidates
- 100% employer-paid health insurance, including medical, dental, vision, Rx, 24/7 telemedicine
- Profit sharing & 403(b) retirement plan available
- Generous PTO, 8 paid holidays, and much more!
What You ll Do:
Prepare and process insurance claims timely and accurately to government, commercial and managed care payers. Review, submit and/or distribute corrected claims. Enter appropriate account notes in Epic billing system to clarify actions taken to reconcile claims. Resolve claim edits daily via claim edit work queues and/or our external billing software. Verify eligibility for coverage via multiple payor websites. Assure compliance with billing requirements for workers compensation and third-party liability claims.
Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information. Maintain confidentiality of all patient demographics, medical and financial information at all times. Maintains Epic Claims Work queues to department daily standard. Maintain daily balance logs of claims sent from EMR to Clearinghouse daily to ensure all claim runs are balanced daily. Perform other duties as assigned.
Qualifications:
High School diploma or GED. Minimum six months experience in healthcare setting. Certified Revenue Cycle Representative (CRCR) preferred. Experience with FQHC billing and/or coding preferred. Strong attention to detail, analytical skills, and ability to meet deadlines. Knowledge of medical and insurance terminology, CPT/ICD coding structures, and UB-04/1500 claim forms. Strong written and verbal communication skills. Our Mission Statement: “Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.”
Our mission celebrates inclusivity. We are committed to equal-opportunity employment. Visit our website at to learn more about our organization!
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