Billing and Collections Clerk

Job Title:

Billing Clerk and Collections

Summary of Duties:
Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies and patients if necessary.

Reports to Revenue Cycle Manager or named Office Manager

• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Performs various collection actions including contacting patients by phone for insurance information, correcting and resubmitting claims to third party payers.
• Answers incoming phone calls when needed.
• Relieves front desk during lunch on assigned weekly basis and will take patient payments, answer the phones and assist patients with questions.
• Analyzing Information, Data Entry Skills, Attention to Detail, Confidentiality, Thoroughness, General Math Skills, Financial Software, Reporting Skills, Verbal Communication, Organization
• Participates in educational activities and attends staff meetings.
• Conduct self in accordance with employee manual.
• Maintains strict confidentiality.

Education: High School Diploma or GED.

• Knowledge of medical billing/collection practices.
• Knowledge of computer programs.
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party operating procedures and practices.

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Ability to operate a computer and basic office equipment.

• Ability to operate a multi-line telephone system.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees and the public.

Must be well organized and detail-oriented.

Environmental/

Working Conditions:

Normal office environment. Occasional overtime may be required and/or hours may be shortened as business needs dictate.

Physical Demands: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve. Adheres to all HIPAA guidelines/regulations.