Billing Clerk

Job Description

Job Description

General Description: The Billing Clerk is responsible for managing billing and collections processes for hospital and clinics, including insurance filing, patient charges, and payment follow-up. This role involves submitting claims to insurance companies as well as monitoring payment status. The Billing Clerk also provides support with additional tasks as assigned. Routine working hours are 8:00 a.m. to 5:00 p.m., Monday through Friday . The Billing Clerk must be able to extend the workday as needed during periods of high census or increased departmental workload.

Key Responsibilities:

• Prepare and submit insurance claims to primary and secondary insurance carriers accurately and timely.
• Review patient accounts and ensure all charges are properly billed.
• Monitor payment status, following up on unpaid or denied claims.
• Resolve billing discrepancies by communicating with patients, third party payers and internal departments.
• Maintain accurate records of all billing, payment and collection activities.
• Ensure compliance with all relevant regulations including HIPAA and insurance guidelines.
• Assist in resolving patient billing inquiries promptly and professionally.

• Perform other related duties as assigned.

Qualifications:

• Education- High School Diploma or equivalent required.
• Experience- Basic knowledge of insurance policies, CPT/ICD-10 codes and reimbursement process.
• Skills- Ability to type 50-60 words per minute accurately. Strong finger dexterity and hand-eye coordination to operate computer and adding machine efficiently. Solid numerical aptitude to perform job duties accurately.
• Work Style- Enjoys a variety of tasks and demonstrates a high level of accuracy and attention to detail.
• Collaboration- Works effectively with Business Office, medical records personnel, hospital employees and the general public.
• Professionalism- Maintains a courteous and professional demeanor when interacting with patients and the general public.
• Organization- Excellent organizational skills with the ability to prioritize and adapt to a changing work environment.
• Requirements- Must successfully pass the hospital drug screening upon hire and meet the physical demands of the position.