Description

SUMMARY OF POSITION

The Medical Billing Clerk is responsible for supporting the financial operations of the clinic by managing patient accounts, processing payments, and assisting with insurance-related functions. This role serves as a key point of contact for patients regarding billing inquiries while ensuring accuracy, compliance, and efficiency in all business office processes.

ESSENTIAL DUTIES AND RESPONSIBILITIES

· Answer incoming phone calls and respond to billing-related inquiries in a professional and timely manner. 

· Greet and assist patients in the business office with billing questions and account support. 

· Collect and process patient payments in person and over the phone. 

· Prepare, review, and submit insurance claims accurately and in a timely manner. 

· Verify claim information for completeness and compliance prior to submission. 

· Monitor claim status, follow up on unpaid or denied claims, and initiate corrections or appeals as needed. 

· Post patient and insurance payments accurately and reconcile accounts. 

· Process refunds and resolve unapplied credits. 

· Maintain and update patient demographic and insurance information. 

· Perform daily bank deposit preparation and reconciliation. 

· Communicate effectively with insurance companies, patients, and external entities regarding claims and accounts. 

· Maintain provider certifications, licensures, enrollments, and other required credentialing documentation to ensure compliance and active status with applicable entities.

· Maintain organized, accurate financial and patient records in applicable systems. 

· Ensure compliance with HIPAA and all applicable healthcare regulations. 

· Perform additional duties as assigned to support clinic operations.

SKILLS

· Strong verbal and written communication skills

· Ability to handle sensitive financial and patient information with confidentiality.

· Strong organizational skills and attention to detail.

· Proficient in computer systems, including EMR/EHR platforms and billing software.

· Ability to manage multiple tasks in a fast-paced environment.

· Basic knowledge of medical billing, insurance processes, and reimbursement practices preferred.

Requirements

QUALIFICATIONS

Minimum education:  High School Diploma/GED 

Preferred:  1–2 years of experience in medical billing, medical records, or insurance-related roles

 Experience with EMR/EHR systems

Knowledge of medical terminology, coding, and insurance processes

 Bilingual Skills Preferred; Compensation Available