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The Billing Clerk plays a key role in supporting revenue cycle operations by ensuring accurate claim creation, timely claim submission, payment posting, and account follow-up. This position works closely with finance, billing, and clinical teams to maintain efficient billing processes, maximize reimbursement, and support compliance with payer and regulatory requirements.
Job Responsibility
Review completed patient encounters and prepare accurate insurance claims
Submit electronic and paper claims to government and commercial payers
Research, correct, and resubmit rejected or denied claims
Post insurance payments, explanations of benefits (EOBs), and contractual adjustments
Apply payments accurately to patient accounts and services rendered
Investigate billing discrepancies and escalate unresolved issues as needed
Assist with accounts receivable follow-up and aging reports
Maintain accurate billing documentation and account notes
Provide billing support and guidance to front-office and clinical staff
Assist with patient statement processing and account balance reviews
Support the processing of credit balances, refunds, and account adjustments
Ensure compliance with HIPAA and all applicable privacy regulations
Perform additional billing and revenue cycle duties as assigned
Requirements
High school diploma or GED required
Minimum 3 years of medical or dental billing experience
Knowledge of billing and coding processes required
Experience with government-sponsored and commercial insurance plans preferred
Experience with practice management and electronic claims systems preferred
Strong attention to detail and organizational skills
Ability to maintain confidentiality and comply with HIPAA regulations
Successful completion of background screening required
Nice to have
Medical or dental revenue cycle experience
Insurance claims management and denial resolution
Accounts receivable follow-up
Payment posting and reconciliation
Strong communication and problem-solving skills
Experience working in a fast-paced healthcare environment