Billing Clerk

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Description

Billing Clerk - Position Summary

Schedule: Full-time, 37.5 hours/week

Wage: $19.00-$22.00/hour

Location: Oneida, NY 13421

Benefits: Up to 33 days of PTO the first year, medical, dental, vision, life insurance, and more

Why Join ACHIEVE

At ACHIEVE, you'll do more than just a job, you'll build a meaningful career while making a real impact on your community. Join a mission-driven team where you can support individuals in achieving independence, develop valuable skills, and grow in a collaborative, supportive environment.

Billing Clerk Key Responsibilities

The Billing Clerk is responsible for processing, monitoring, and resolving insurance claims for clinic services. This role works closely with insurance carriers, government payers, and clinic staff to ensure accurate billing, timely reimbursement, denial resolution, and compliance with healthcare billing and coding requirements.

• Process and monitor billing claims for clinic services, ensuring timely and accurate submission and payment
• Research and resolve unpaid, delayed, or denied insurance claims by identifying billing, coding, coverage, or demographic issues
• Communicate with insurance companies, government payers, and third-party payers to secure reimbursement and resolve claim discrepancies
• Investigate claim denials, determine root causes, and implement appropriate corrective actions
• Obtain and manage prior authorizations for clinic services as required by insurance carriers and payer guidelines
• Maintain accurate billing documentation and ensure compliance with coding standards, payer requirements, and applicable healthcare regulations

Requirements

• High School Diploma or GED required; Associates degree preferred
• At least one (1) year of experience in healthcare billing required, three (3) years of experience preferred
• Medical Billing Certificate preferred