Billing Clerk

Billing Clerk

Reports To: Billing Manager

Employee Status: Non-Exempt (Regarding Overtime)

Position Summary: Under general supervision, but in line with established PC&HC policies and procedures, provide a variety of service functions.

Essential Functions:

• Represent PC&HC to the patients/customers in a courteous and professional manner. Provide prompt, efficient and accurate service.
• Perform insurance/billing clerical duties, including review and verification of patient account information against insurance program specifications.
• Resolve routine patient billing inquiries and problems.
• Follow up on balances due from insurance companies and patients.
• Enter data electronically to process charges, payments, denials and adjustments with practice requirements.
• Send monthly statements to patients with outstanding balances.
• Establish patient payment plans.
• Assist providers with proper coding
• Assist with insurance verification as necessary
• Assist PSR and call center with billing questions
• Work with Office Manager on front office billing issues
• Reconciliation of monthly lab and X-ray invoices
• Reconcile online payment portals with EMR daily.
• Improve the patient experience and health care processes and help assure the provision of high-quality health care, as well as an ongoing process of performance improvement.
• Plan and organize work load to maintain efficient patient operations in the Health Center.
• Maintain a strong customer focus while working collaboratively within the teams multiple demands and patient needs.
• Treat all patient information confidentially and in accordance with established guidelines.

Marginal Functions:

• Prepare and upload claims for insurance companies.
• Transfer and manage all collection accounts.
• Submit monthly bad debt list to finance director.
• Balance daily payment reports and prepare daily bank deposits.
• Assist patients with patient fee waivers
• Appeal denied claims and routinely follow up on unpaid claims
• Process patient and insurance refunds
• Monthly reports and month end close process
• Perform all other duties as required or assigned.