BILLING CLERK

Job purpose

Under the supervision of the Billing Supervisor, the Medical Billing Clerk will be primarily responsible for maintaining the clinic billing of all patients, including Medi-Cal, Medicare and third party billing; and for maintaining an open line of communication with all insurance carriers including follow-up, denials and appeals.

Duties and responsibilities

• Review patient chart documentation to assure correct coding and accurate billing.
• Process / Enter accurate data into NextGen in a timely manner.
• Submit claims, edits errors and trouble shoot per carrier requirements in a timely manner. Clear errors per carrier receipt and re-submit.
• On a daily basis, research claims unpaid status. Trouble-shoot and correct to reduce AR balances.
• Post payments to system associated with patients and insurance carrier’s remittance.
• Effectively communicate with clinic / program staff and insurance carriers about any patient eligibility issues and payments.
• Follow up with insurance carriers on unpaid claims until claims are paid or determined by established account receivable policy and process rejections accordingly.
• Attend trainings and review bulletins provided by State, County and other insurance carriers, staying abreast of any changes to billing guidelines.
• Perform other duties as assigned by Billing Supervisor and Director of Finance
• Provide assistance and information to patient when requested.
• Perform other duties as assigned.

Qualifications

• High school diploma or its equivalent.
• Two (2) years hands on medical billing experience in a clinic or hospital setting.
• FQHC experience preferred.
• Knowledge of Medical terminology, terms and abbreviations.
• Basic math, computer and Internet skills.
• Knowledge of NextGen system is a PLUS.
• Ability to analyze and reconcile billings with payments.
• Ability to perform detailed work and data entry accurately.
• Effective oral and written communication skills.
• Establish and maintain effective working relationships with those contacted in the performance of required duties.

Physical Demands

• Must be able to remain in a stationary position 50% of the time.
• Ability to occasionally move about inside the office to access file cabinets, office machinery, etc.
• Able to operate a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.
• Able to constantly position yourself to maintain files in file cabinets such as reaching with hands and arms, kneeling, crouching, etc.
• The ability to communicate, detect, converse with, discern, convey, express oneself, and exchange information is crucial for this role.

Compliance with the Americans with Disabilities Act (ADA)

Our center is dedicated to fostering an environment that is inclusive and accessible, welcoming everyone with open arms. We strictly follow the guidelines outlined by the Americans with Disabilities Act (ADA), which includes a prohibition on discrimination in employment practices and other terms and conditions of employment.

By joining us, you will become part of an organization that cherishes diversity, inclusivity, and equal opportunity. Together, we can make a meaningful difference in our community and positively influence the lives of those we serve.