The Billing Clerk gathers charge information, enters into database, completes billing process, and distributes billing information.

Reports to: Senior Accountant

Essential Functions

Follows established policies and procedures, objectives, safety standards, and sensitivity to confidential information.

Researches all information needed to complete billing process including getting charge information from physicians.

Keys charge information into on-line entry program and produces billing.

Participates with other staff to follow up on accounts until no balance or turned over for collection.

Assists with error resolution.

Posts charges and payments.

Responsible for filing paper HCFA, UB04 and electronic claims.

Reprocesses or appeals insurance rejections.

Assists with answering the telephone and provides information as requested regarding billing inquiries.

Keeps current on all billing procedures and rules.

Contacts third party payers for follow-up and resolution of accounts.

Maintains confidentiality in accordance with HIPAA regulations.

Support the culture of service excellence throughout the organization.

Actively seek ways to demonstrate a commitment to continuous improvement and participate in professional development opportunities.

Performs other related duties as assigned or requested.

Completes annual educational requirements.

Other Skills: Computer and/or keyboarding skills required. Excellent human relations and oral/written communication. Excellent organizational abilities. Demonstrated teamwork skills. Ability to deal with change. Demonstrates a positive attitude towards initiating continuous improvement. Ability to respond appropriately even in challenging situations. Ability to work without direct supervision. Knowledge of billing practices and clinic policies and procedures. Knowledge of coding and clinic operating policies. Knowledge of ICD-9, CPT, and HCPC8 manual. Knowledge of medical insurance rules and regulations. Ability to examine documents for accuracy and completeness. Ability to prepare records in accordance with detailed instructions.

Minimum Education High School diploma or equivalent.

Minimum Work Experience Minimum: One to three years of billing experience in a healthcare organization.