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Billing Clerk / Specialist
Marianna, FL
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Oversees daily billing operations which include preparing, submitting, and following up on insurance claims to ensure accurate and timely reimbursement for services provided.
Clinic Operating Hours:
Mon-Fri 8:00-5:00 ESSENTIAL
FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO
Coordinate and support daily billing operations within the clinic
Review coded patient encounters to ensure accuracy prior to claim submission
Prepare and submit claims to insurance carriers as required
Verify patient insurance information and eligibility
Ensure claims include appropriate diagnosis and procedure codes
Post insurance payments, adjustments, and patient payments into the billing system
Reconcile payments and ensure proper allocation to patient accounts
Identify and resolve discrepancies in payment postings
Review rejected or denied claims to determine the cause of denial
Correct claims and resubmit as necessary
Communicate with insurance carriers regarding claim status and payment issues
Monitor aging reports and follow up on outstanding claims
Generate patient statements and respond to patient billing inquiries
Participate in internal audits to ensure billing accuracy and compliance
Maintain compliance with billing guidelines and payer regulations
Protect patient information in accordance with HIPAA
Perform other duties as assigned
QUALIFICATIONS
High School Diploma/GED
Associate's degree in medical billing, healthcare administration, or related field (preferred)
Certified Professional Biller (CPB) or equivalent certification (preferred)
2+ years of experience in medical billing, revenue cycle operations, or similar healthcare role (preferred)
SKILLS:
Knowledge of medical billing procedures and insurance claim processes
Strong attention to detail and organizational skills
Strong problem-solving skills
Ability to analyze billing reports and resolve reimbursement issues
Ability to communicate effectively with patients, providers, and insurance representatives
Proficiency with electronic health record (EHR) and medical billing software
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance