Billing Compliance Specialist

Job Description

Job Description

Description:

Join Wilmington Community Clinic!

Have you ever wanted to be a part of something bigger? Have you ever wanted to make a difference? At Wilmington Community Clinic, here you can. WCC provides quality, non-discriminatory primary care, mental health, dental and women’s health services to improve the health and well-being of all served – regardless of their ability to pay. We have served patients in and around Wilmington and Los Angeles for over 40 years. Our multi-generational impact makes us proud of the services we provide, and we put patient care front and center - it's The Wilmington Way!

Position Summary

The Billing Compliance Specialist is Temporary position responsible for conducting internal self-pay audits and detailed account reviews to ensure billing accuracy, compliance, and proper patient account resolution. This position supports the Revenue Cycle Manager by reviewing insurance eligibility, validating sliding fee scale application, identifying billing discrepancies, and monitoring adherence to Federally Qualified Health Center (FQHC) guidelines and revenue cycle procedures. The role also assists with resolving account issues, improving audit outcomes, and supporting accurate patient financial records.

Assignment Dates and Schedule

The anticipated assignment dates for this position are late May 2026 through July 31, 2026. The schedule for the position is up to 40 hours per week.

Compensation

The compensation for this position is $21.00 - $25.00 hourly .

Education and Experience

· Experience in healthcare administration, billing, patient access, or revenue cycle management preferred

· Experience working in an FQHC or community health setting preferred

· High school diploma required; additional healthcare or billing education preferred

Essential Position Responsibilities

• Perform internal self-pay and sliding fee scale audits to ensure compliance with organizational policies, FQHC guidelines, and regulatory requirements.
• Review patient accounts for insurance eligibility, income verification, supporting documentation, and accuracy of financial assistance determinations.
• Identify registration, billing, and insurance discrepancies and coordinate corrections with front office, billing, and revenue cycle staff.
• Assist with compiling audit findings, tracking trends, and preparing reports for leadership review and process improvement initiatives.
• Monitor patient account activity to ensure accurate application of sliding fee discounts, adjustments, and account balances.
• Conduct routine quality assurance reviews of patient registrations, demographic information, and payer data to improve billing accuracy.
• Collaborate with clinic staff to resolve account issues, clarify documentation requirements, and support workflow improvements.
• Maintain detailed audit records and documentation of findings, corrective actions, and follow-up activities.
• Provide recommendations to reduce billing errors, improve compliance, and strengthen revenue cycle performance.
• Support training and education efforts related to patient eligibility, financial assistance programs, and account documentation standards.
• Assist with special projects, internal reviews, and other revenue cycle duties as assigned by Finance management.
• Attend WCC meetings as required.
• Complete other duties as assigned in support of WCC’s mission.

Skills

• Knowledge of sliding fee scale and self-pay processes
• Familiarity with insurance eligibility verification
• Strong attention to detail and organizational skills
• Ability to work independently and meet deadlines
• Experience with EPIC/OCHIN preferred but not required
• Strong communication and analytical skills

What’s Next?

Thank you for your interest! Please submit your resume for consideration. We are unable to accept direct inquiries about this position (i.e. phone calls, emails).