Ambulatory Insurance Clerk Biller I

The insurance clerk is responsible for working claims, processing edits, and doing their due diligence to ensure correct claim processing and payments from insurance companies and patients. The insurance clerk will work edits & rejections in Athena. Prepare reviews/appeals as required; keep current on carrier specific billing guidelines, payer policies, and specific payer coding guidelines; follow-up on unpaid claims, process insurance takebacks, overpayments, and refunds, and perform other duties as assigned by the Business Office Manager.

Education, Work Experience and Licensure:

• High school diploma • Experience in medical billing/coding preferred.