Billing Clerk

Lamoille Health Partners•Morrisville, VT

48d

About The Position

Lamoille Health Partners is seeking a highly organized Billing Clerk to join our Patient Financial Services team. This role is essential to our mission of providing accessible and affordable healthcare by ensuring accurate and timely processing of patient claims and financial transactions.

Requirements

High school diploma or equivalent required. Associate's degree in medical billing, healthcare administration, or a related field preferred.
Minimum of 2 years of experience in medical billing, preferably in a healthcare setting. Experience in a community health center or FQHC is a plus.
Solid understanding of medical billing processes, including claim submission, payment posting, and denial management.
Excellent data entry skills with a high degree of accuracy and attention to detail.
Strong organizational and time-management skills with the ability to prioritize tasks and meet deadlines.
Excellent communication skills, both written and verbal, with a patient and professional demeanor.
Ability to work independently as well as part of a team.
Knowledge of HIPAA regulations and patient privacy standards.

Nice To Haves

Experience in a community health center or FQHC is a plus.
Associate's degree in medical billing, healthcare administration, or a related field preferred.

Responsibilities

Claim Submission: Prepare and submit accurate and timely medical claims to various insurance payers (Medicare, Medicaid, commercial insurance, third-party payers) both electronically and, occasionally, manually.
Payment Posting: Accurately post payments received from insurance companies and patients to the correct patient accounts in the practice management system. This includes posting electronic remittances (ERAs) and manual payments.
Denial Management: Identify and investigate claim denials and rejections. Work to resolve issues by correcting errors, resubmitting claims, or appealing as necessary.
Accounts Receivable Follow-up: Monitor and follow up on outstanding claims and patient balances to ensure maximum reimbursement. This may involve contacting insurance companies for status updates and patient account inquiries.
Patient Billing Inquiries: Respond to patient inquiries regarding their bills, insurance coverage, and payment options in a clear, courteous, and professional manner.
Record Keeping: Maintain organized and confidential patient billing records in compliance with HIPAA regulations.
Compliance: Stay informed of changes in billing regulations, coding guidelines (ICD-10, CPT, HCPCS), and payer requirements to ensure compliance.
Collaboration: Work collaboratively with the front desk, medical coding team, and clinical staff to ensure accurate patient information and streamline billing processes.
Reporting: Assist with generating basic billing reports as needed for management review.