Billing Specialist

Job Description

Job Description

Billing Specialist

Location: Philadelphia, PA (Hybrid – 4 days onsite during training, then minimum 2 days onsite)

Industry: Healthcare / Federally Qualified Health Center (FQHC)

Pay: $20.00–$23.00/hour

Benefits : The position is eligible for medical, dental, vision, and 401(k)

About Our Client

Our client is a mission-driven Federally Qualified Health Center dedicated to providing comprehensive medical, dental, and behavioral health services throughout the Philadelphia area. They are seeking a Billing Specialist to join their Revenue Cycle team to support claim processing, payment posting, and denial resolution while ensuring timely and accurate reimbursement.

Job Description

The Billing Specialist is responsible for scrubbing and processing healthcare claims, resolving claim edits and denials, posting payments, and ensuring clean claims are submitted through the appropriate clearinghouses. This individual will work primarily within eClinicalWorks (eCW) and collaborate with internal teams to resolve billing issues efficiently.

Key Responsibilities

• Review and process pending charges from the EHR into the Practice Management system.
• Perform claim scrubbing and resolve claim edits prior to submission.
• Submit electronic claims through clearinghouses.
• Monitor claim status reports and resolve rejected or denied claims.
• Generate and manage EDI claim batches.
• Download and reconcile rejection reports.
• Post insurance and patient payments accurately.
• Work billing work queues to ensure timely claim processing.
• Communicate with clinic staff regarding outstanding billing issues.
• Assist with reporting, audits, and additional Revenue Cycle projects as assigned.

Qualifications

• High school diploma or GED.
• Minimum 2–3 years of healthcare billing experience.
• Experience using eClinicalWorks (eCW) (required).
• Experience with claim edits, payment posting, and claim submission.
• Intermediate Microsoft Excel skills.
• Strong attention to detail and organizational skills.

Preferred:

• Experience with dental billing.
• FQHC revenue cycle experience.
• Bachelor's degree.
• Advanced Microsoft Excel skills.

Additional Details

• Schedule: Monday–Friday | 8:00 AM – 4:30 PM
• Assignment Type: Contract-to-Hire