Part Time Medical Billing Clerk

Job purpose The billing clerk shall be responsible for processing daily claims, monitoring the use of procedural and diagnostic codes, verifying insurance and demographic information and following up on billing-related issues. Must follow all policies and procedures as required by the clinic Duties and Responsibilities Primary job duties and responsibilities include:

Daily:

Review and process encounters from previous business day Verify all needed CPT codes are present Verify all listed Diagnosis codes are correct Create claims for each visit Edit CPT and/or Diagnostic codes as needed Ensure all required codes are included

Daily:

Track claims transmission to clearinghouse and # of patient statements sent

Daily:

Follow all HIPAA and related confidentiality rules at all times.

Weekly:

Run Unbilled Encounters report, review and process missing encounter claims

Weekly :

Review Billing Trailers on Quest site to make diagnostic corrections

Weekly:

Review billing-related tasks and make corrections as needed.

Weekly:

Process WCC Recalls for visits held the previous week utilizing the current Recall protocol

Weekly:

Meet with Practice Administrator and/or Front Office Manager to discuss billing issues As needed: Assist the Practice Administrator with billing-related training for other departments As needed: Participate in all Clinic Required training for programs including but not limited to Compliance, PCPCH, and Rural Health As needed: Assist Practice Administrator and/or Front Office Manager with other duties as assigned As needed: Volunteer and participate in various clinic initiatives including but not limited to the Quality Improvement Team and the Safety Team. Qualifications High school diploma or equivalent

• required Documented experience and excellence in customer service
• required Previous experience in medical billing
• 2 years or recent completion of a qualified medical billing and coding program OR previous experience as a medical assistant / LPN
• required Strong attention to detail
• required Ability to manage competing deadlines
• required Willingness to help in other areas of the clinic, as needed
• required Previous experience in Pediatric billing
• desired Previous experience using NextGen PM/EMR
• desired Bilingual in English and Spanish
• desired

Job Type:

Part-time Pay:

From $25.00 per hour

Benefits:

401(k) 401(k) matching

Experience:

ICD-10: 1 year (Required)

Work Location:

In person