Medical Billing Specialist-New Jersey Ave-DC(Hybrid)

Job Description

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.