Medical Billing Support Clerk

Position Summary: Responsible for follow-up of insurance claims and denials, backup insurance company and patient payment posting, charge entry, electronic billing, patient accounts, and provider credentialing.

Role and Responsibilities

• Reviewing claims outstanding over 90 days.

• Researching within Nextgen for reason claim not paid.

• Speak with insurance companies regarding unpaid or denied claims.

• If necessary, submit documentation to insurance companies

• Clear credit balances for patients and insurance companies.

• Backup

• Charge Entry

• Electronic Billing

• Payment posting

• Patient Accounts Clerk

• Provider credentialing with insurance companies

• Chota in-house credentialing for Providers

• Complete annual trainings

• Review Policies and Procedures that pertain to job annually

• Participate in Patient Centered Medical Home Care Team collaboration.

• Performs other duties as assigned or requested.

• Participates in quality improvement activities.

• Regular and predictable attendance.

• Ability to cooperate and work well with others.

• Attend and participate in monthly staff meetings.

Qualifications and Education Requirements

• High school diploma or equivalent
• Experience working with medical claims, Insurance companies, patient accounts, insurance payment posting and charge posting

Preferred Skills

• Knowledge of modern office equipment
• Interpersonal/human relations skills
• Organizational skills
• Telephone etiquette skills
• Ability to maintain records and files
• Ability to operate personal computer
• Ability to maintain confidentiality