Billing Clerk

Description Reports To: Billing Manager Employee Status: Non-Exempt (Regarding Overtime) Position Summary: Under general supervision, but in line with established PC&HC policies and procedures, provide a variety of service functions.

Essential Functions

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. Marginal Functions 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.