Calling all billing experts, coding gurus, denial detectives, and reimbursement rockstars! We're looking for someone who thrives on solving billing puzzles, maximizing reimbursements, helping patients understand their financial responsibilities, and keeping the entire revenue cycle running smoothly. If you speak fluent CPT, ICD-10, HCPCS, and insurance regulations and you love turning complex claims into clean payments, we'd love to meet you.
This position can be in person in our Bismarck, ND or new Fargo, ND location.
But before you apply, it’s important for you to know that our culture is very important to us, so please read our Core Behavioral Values to get a sense if we are a good fit for you.
Own It
Solutions over obstacles.
You identify opportunities, take initiative, and follow through. When you commit to something, it gets done. You make thoughtful decisions, communicate clearly, and approach your work with accountability, confidence, and drive.
Connect & Heal
Make every patient feel heard, supported, and safe.
Patients leave understanding their care plan and feeling cared for. Your tone, presence, and communication create a welcoming space where people can share openly. You lead with compassion, clarity, and respect in every interaction.
Rise Together
Grow together and support each other.
You embrace change, collaborate with teammates, and contribute positively to the team culture. You communicate openly and bring questions, concerns, and ideas directly to leadership so we can grow and improve together. You step up when needed and help create an innovative, supportive, and forward-thinking environment.
***If this feels like an environment you would like to work in, please review the position responsibilities.
Lead the revenue cycle. Improve processes. Help patients. Maximize reimbursement.
ROLE OVERVIEW:
The Medical Billing & Coding Specialist is responsible for leading the day-to-day billing and coding operations of the clinic while actively participating in every stage of the revenue cycle. This hands-on role ensures accurate coding, timely claim submission, proactive accounts receivable management, patient account resolution, and compliance with payer and regulatory requirements.
As the clinic's billing expert, you will work closely with providers, patients, insurance companies, leadership, and fellow billing team members to maximize reimbursement, improve financial performance, and create an exceptional patient financial experience. In addition to performing billing and coding functions, you will monitor revenue cycle performance, identify opportunities for improvement, support billing workflow coordination, and provide regular updates and recommendations to the Clinic Manager.
KEY RESPONSIBILITIES:
Revenue Cycle Operations
- Review provider documentation and claims for coding accuracy and completeness prior to claim submission.
- Assign accurate CPT, ICD-10, and HCPCS codes based on provider documentation.
- Submit insurance claims to clearinghouses and payers as needed.
- Monitor claim status and resolve rejected, denied, or underpaid claims.
- Work directly with insurance carriers to resolve billing issues and maximize reimbursement.
- Monitor revenue cycle performance and identify trends impacting reimbursement.
- Collaborate with providers to clarify documentation and improve coding accuracy.
- Ensure timely processing of claims and efficient reimbursement.
Accounts Receivable & Patient Financial Services
- Monitor and actively manage accounts receivable to ensure timely payment of outstanding balances.
- Contact patients regarding outstanding balances in a professional, compassionate, and respectful manner.
- Answer patient billing questions and explain statements, insurance processing, deductibles, coinsurance, and balances due.
- Establish payment arrangements in accordance with clinic policies.
- Send patient statements, final notices, and coordinate collection referrals when appropriate.
- Process patient refunds, credit balances, account adjustments, and payment corrections.
- Resolve account discrepancies by working directly with patients and insurance companies.
- Maintain accurate aging reports and ensure outstanding accounts are worked in a timely manner.
Billing Quality & Process Improvement
- Review coding and billing workflows to identify opportunities for improvement.
- Monitor denial trends and recommend solutions to reduce future denials.
- Assist in prioritizing billing work and supporting other billing team members as needed.
- Generate reports related to accounts receivable, collections, denials, reimbursements, and billing performance.
- Communicate billing trends, concerns, and recommendations to the Clinic Manager.
- Participate in ongoing process improvement initiatives that enhance efficiency and strengthen the revenue cycle.
Insurance Verification & Authorization Support
- Verify insurance eligibility and benefits when needed.
- Assist with prior authorizations and payer requirements.
- Support front office and clinical staff with insurance and billing questions.
- Help educate patients regarding insurance benefits and financial policies.
Compliance & Professional Development
- Maintain compliance with HIPAA and all federal, state, and payer billing regulations.
- Participate in internal coding reviews and compliance initiatives.
- Maintain accurate documentation to support audits and payer requests.
- Complete continuing education to remain current on coding guidelines, payer policies, and industry best practices.
Participate in ongoing education and training to maintain certifications and stay current with industry changes.
Qualifications:
- High school diploma or equivalent
- Certified Professional Coder (CPC), Certified Professional Biller (CPB), or comparable certification.
- Minimum of 3 years of medical billing and coding experience, preferably in a primary care, family practice, women's health, or specialty clinic setting.
- Strong knowledge of CPT, ICD-10, HCPCS, payer billing requirements, and revenue cycle processes.
- Experience managing accounts receivable, insurance follow-up, denial resolution, and patient billing.
- Excellent customer service and communication skills with the ability to confidently and compassionately discuss financial matters with patients.
- Strong attention to detail, organizational skills, and critical thinking abilities.
- Ability to prioritize multiple responsibilities while maintaining accuracy and efficiency.
- Proficiency with electronic health records and billing software (Elation experience preferred).
Preferred
- Experience reviewing coding accuracy and provider documentation.
- Experience identifying billing trends and recommending workflow improvements.
- Previous experience mentoring or assisting other billing team members.
- Knowledge of payer contracts, reimbursement methodologies, and revenue cycle analytics.
Physical Requirements:
- Ability to sit, stand, and walk for extended periods.
- Frequent use of computer, phone, and office equipment.
- Occasional lifting of up to 30 pounds.
Location: This is an in-person position located in Bismarck, ND or Fargo, ND.
Job Type: Full-time
Pay: $25.00 - $30.00 per hour
Benefits:
- Dental insurance
- Employee discount
- Flexible schedule
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Medical Billing / Coding: 2 years (Required)
License/Certification:
- CPC, CPB, or similar certification (Required)
Work Location: In person
