Billing Clerk

GMA Interventions•Virginia Beach, VA

7d•Onsite

About The Position

The Billing Clerk will be responsible for daily posting of charges and payments, scanning of fee slips and EOBs, deposits, and claims submissions. This role involves following up on accounts and claims when no response is received from insurance carriers, gathering information on other pending claims, and checking claim status on various insurance company websites. The Billing Clerk will also research, identify, and rectify special circumstances or denial trends affecting patient account resolution, and provide findings to the practice manager. Additionally, the role includes identifying and creating batches for necessary billing adjustments, reviewing statements, and communicating claim processing details to patients. This position requires contacting insurance companies via phone, email, fax, and written correspondence to resolve issues preventing correct claim processing, including verifying benefits and eligibility dates. The Billing Clerk will also work on various insurance denials such as coverage in question, medical necessity, bundling, non-covered procedures, incorrect coding, and credentialing. Other duties as assigned.

Requirements

High School Diploma
2+ years of Behavioral Health/healthcare billing experience
Experienced in submitting claims, insurance companies follow ups, collecting payments
Experienced knowledge with Medicaid and Commercial Insurances
Must have experience working with CPT codes
Familiarity with electronic billing system, EMR
Experienced in handling benefit verification, provider portal
Ability to maintain and document claim records with accuracy

Nice To Haves

Related college level courses highly desirable
CMRS/CMBS highly desirable
Bookkeeping highly desirable
Knowledge of behavioral health highly desirable

Responsibilities

Daily posting of charges and payments
Scanning of fee slips and EOBs, deposits, claims submissions
Follow up on accounts and claims when no response from the insurance carriers has been received
Gather information regarding other pending claims on account and check status of claims utilizing the websites for various insurance companies
Research, identify, and rectify any special circumstances or denial trends affecting resolution of patient account and provide the finds to the practice manager
Identify and create batches for necessary billing adjustments
Review statements and communicate the specific manner in which the claim processed with patients
Contact insurance companies by phone, email, fax, and written correspondence to resolve issues preventing claims from being processed correctly, including verifying benefits and eligibility dates
Working various denials from insurances including coverage in question, medical necessity, bundling, non-covered procedures, incorrect coding, credentialing, etc.
Other duties as assigned