The Billing/Accounts Receivable Clerk is responsible for a variety of duties, as assigned by supervisor, which may include routine billing payment posting and problem solving for various payers, including insurance, Medicaid, Medicare, HMO, and private pay. The billing clerk is responsible for clear, detailed communication with the billing staff and with payers and clients regarding various insurance-related and payment-related issues. Responsibilities may also include researching and resolving client insurance claims which are denied or uncollected.
Duties and Responsibilities
Verify accuracy of billing data and revise errors
Operate software system for billing, posting, and claims research
Obtain and/or enter such documents as authorizations, financial agreements, and other such ancillary documents as may be necessary
Maintain detailed records as required
Resolve discrepancies in accounting records
Interact with staff, clients, payer and agencies to answer questions, obtain information and resolve issues
Monitor aging reports and take such steps as necessary to guarantee payment of claims
Coordinate and collect necessary information from staff or payers for claim adjudication
Participate in take-back, overpayment, and refund process
Recognize problem accounts and notify appropriate staff or supervisor to assist in problem resolution
Participate in the training of new staff members
Participate in auditing processes as needed
Maintain open, positive, cordial, team-oriented lines of communication with manager and other staff members
Contribute to the billing department team through positive attitude, respectful interaction, innovative ideas, efficiency, and ethical behavior
Primary Physical Requirements:
The employee must be aware that during the normal, routine performance of the essential functions, some of the following body movements may occur naturally, although they may not be a requirement of the job.
Lift up to 10 lbs: Constantly
Lift 11 to 25 lbs: Occasionally
Lift 26 to 50 lbs: Rarely
Lift over 50 lbs: Rarely
Carry up to 10 lbs: Occasionally
Carry 11 to 25 lbs: Occasionally
Carry 26 to 50 lbs: Rarely
Carry over 50 lbs: Not required
Reach above shoulder height: Occasionally
Reach at shoulder height: Occasionally
Reach below shoulder height: Frequently
The employee must be able to perform the essential functions of the job with or without reasonable accommodations. Except as specifically noted, the following functions are considered essential to this position.
The employee may be asked to perform other duties or tasks that are not listed, but are within the competence and training of the individual. The employer reserved the right to modify this job description based upon the company needs.
Key Job/Physical Requirements
The following is a general list of key job/physical requirements for your position. The list is not to be considered inclusive and other job/physical requirements may be necessary as deemed by the Facility.
The ability to work independently.
The ability to work collaboratively on projects.
Experience with insurance authorizations, preferred
The ability to create channels of communication to obtain information necessary to perform job tasks, such as with clients, payers, clinical staff, and billing department staff.
The ability to recognize individual and system problems and to communicate such information to the supervisor.
Excellent written and verbal communication skills.
Outstanding attention to detail and excellent time management skills. This position requires mastery of a large amount of detail.
Outstanding computer skills with billing software, Microsoft Word and Microsoft Excel, able to learn computer systems, good keyboarding skills.
Able to site at computer for three to four hours at a time.