Business Office: Medical Billing Clerk

Description:

SUMMARY OF POSITION

The Medical Billing Clerk is responsible for supporting the financial operations of the clinic by managing patient accounts, processing payments, and assisting with insurance-related functions. This role serves as a key point of contact for patients regarding billing inquiries while ensuring accuracy, compliance, and efficiency in all business office processes.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Answer incoming phone calls and respond to billing-related inquiries in a professional and timely manner. Greet and assist patients in the business office with billing questions and account support. Collect and process patient payments in person and over the phone. Prepare, review, and submit insurance claims accurately and in a timely manner. Verify claim information for completeness and compliance prior to submission. Monitor claim status, follow up on unpaid or denied claims, and initiate corrections or appeals as needed. Post patient and insurance payments accurately and reconcile accounts. Process refunds and resolve unapplied credits. Maintain and update patient demographic and insurance information. Perform daily bank deposit preparation and reconciliation. Communicate effectively with insurance companies, patients, and external entities regarding claims and accounts. Maintain provider certifications, licensures, enrollments, and other required credentialing documentation to ensure compliance and active status with applicable entities. Maintain organized, accurate financial and patient records in applicable systems. Ensure compliance with HIPAA and all applicable healthcare regulations. Perform additional duties as assigned to support clinic operations. SKILLS Strong verbal and written communication skills Ability to handle sensitive financial and patient information with confidentiality. Strong organizational skills and attention to detail. Proficient in computer systems, including EMR/EHR platforms and billing software. Ability to manage multiple tasks in a fast-paced environment. Basic knowledge of medical billing, insurance processes, and reimbursement practices preferred.

Requirements:

QUALIFICATIONS

Minimum education:

High School Diploma/GED Preferred:

1-2 years of experience in medical billing, medical records, or insurance-related roles Experience with EMR/EHR systems Knowledge of medical terminology, coding, and insurance processes Bilingual Skills Preferred; Compensation Available