Billing Clerk

Job Title

RESPONSIBILITIES

• Daily posting of charges and payments
• Scanning of fee slips and EOBs, deposits, claims submissions
• Follow up on accounts and claims when no response from the insurance carriers has been received
• Gather information regarding other pending claims on account and check status of claims utilizing the websites for various insurance companies
• Research, identify, and rectify any special circumstances or denial trends affecting resolution of patient account and provide the finds to the practice manager.
• Identify and create batches for necessary billing adjustments
• Review statements and communicate the specific manner in which the claim processed with patients
• Contact insurance companies by phone, email, fax, and written correspondence to resolve issues preventing claims from being processed correctly, including verifying benefits and eligibility dates
• Working various denials from insurances including coverage in question, medical necessity, bundling, non-covered procedures, incorrect coding, credentialing, etc.
• Other duties as assigned

QUALIFICATIONS

• High School Diploma, Related college level courses highly desirable.
• 2+ years of Behavioral Health/healthcare billing experience
• Experienced in submitting claims, insurance companies follow ups, collecting payments
• Experienced knowledge with Medicaid and Commercial Insurances.
• Must have experience working with CPT codes
• Familiarity with electronic billing system, EMR.
• Experienced in handling benefit verification, provider portal,
• Ability to maintain and document claim records with accuracy
• CMRS/CMBS highly desirable
• Bookkeeping highly desirable
• Knowledge of behavioral health highly desirable

Schedule:

• Monday to Friday

Work Location: One location