Billing Clerk

Primary Care & Hope Clinic•Murfreesboro, TN

4h•Onsite

About The Position

Under general supervision, but in line with established PC&HC policies and procedures, provide a variety of service functions. This role involves representing PC&HC to patients/customers courteously and professionally, providing prompt, efficient, and accurate service. The Billing Clerk will perform insurance/billing clerical duties, including reviewing and verifying patient account information against insurance program specifications, resolving routine patient billing inquiries and problems, and following up on balances due from insurance companies and patients. Data entry is required to process charges, payments, denials, and adjustments according to practice requirements. The position also involves sending monthly statements to patients with outstanding balances, establishing patient payment plans, and assisting providers with proper coding. Additional duties include assisting with insurance verification, supporting the PSR and call center with billing questions, working with the Office Manager on front office billing issues, reconciling monthly lab and X-ray invoices, and reconciling online payment portals with EMR daily. The role aims to improve the patient experience and healthcare processes, assure high-quality healthcare, and contribute to ongoing performance improvement. Planning and organizing workload to maintain efficient patient operations and maintaining a strong customer focus while working collaboratively are key. All patient information must be treated confidentially and in accordance with established guidelines.

Requirements

Provide a variety of service functions.
Review and verification of patient account information against insurance program specifications.
Resolve routine patient billing inquiries and problems.
Follow up on balances due from insurance companies and patients.
Enter data electronically to process charges, payments, denials and adjustments with practice requirements.
Send monthly statements to patients with outstanding balances.
Establish patient payment plans.
Assist providers with proper coding.
Assist with insurance verification as necessary.
Assist PSR and call center with billing questions.
Work with Office Manager on front office billing issues.
Reconciliation of monthly lab and X-ray invoices.
Reconcile online payment portals with EMR daily.
Improve the patient experience and health care processes and help assure the provision of high-quality health care, as well as an ongoing process of performance improvement.
Plan and organize work load to maintain efficient patient operations in the Health Center.
Maintain a strong customer focus while working collaboratively within the teams multiple demands and patient needs.
Treat all patient information confidentially and in accordance with established guidelines.
Prepare and upload claims for insurance companies.
Transfer and manage all collection accounts.
Submit monthly bad debt list to finance director.
Balance daily payment reports and prepare daily bank deposits.
Assist patients with patient fee waivers.
Appeal denied claims and routinely follow up on unpaid claims.
Process patient and insurance refunds.
Monthly reports and month end close process.
Perform all other duties as required or assigned.

Responsibilities

Represent PC&HC to the patients/customers in a courteous and professional manner.
Provide prompt, efficient and accurate service.
Perform insurance/billing clerical duties, including review and verification of patient account information against insurance program specifications.
Resolve routine patient billing inquiries and problems.
Follow up on balances due from insurance companies and patients.
Enter data electronically to process charges, payments, denials and adjustments with practice requirements.
Send monthly statements to patients with outstanding balances.
Establish patient payment plans.
Assist providers with proper coding.
Assist with insurance verification as necessary.
Assist PSR and call center with billing questions.
Work with Office Manager on front office billing issues.
Reconciliation of monthly lab and X-ray invoices.
Reconcile online payment portals with EMR daily.
Improve the patient experience and health care processes and help assure the provision of high-quality health care, as well as an ongoing process of performance improvement.
Plan and organize work load to maintain efficient patient operations in the Health Center.
Maintain a strong customer focus while working collaboratively within the teams multiple demands and patient needs.
Treat all patient information confidentially and in accordance with established guidelines.
Prepare and upload claims for insurance companies.
Transfer and manage all collection accounts.
Submit monthly bad debt list to finance director.
Balance daily payment reports and prepare daily bank deposits.
Assist patients with patient fee waivers.
Appeal denied claims and routinely follow up on unpaid claims.
Process patient and insurance refunds.
Monthly reports and month end close process.
Perform all other duties as required or assigned.