Billing Clerk

Summary of Job Function:

Performs billing functions related to payer sources from review and submission of claims to resolving claim rejections. Works with administrative team to assure that all services provided and documented are billed and collected.

Qualifications: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Functions:

1. Submits claims in all formats; electronic, paper and consumer statements.
2. Researches and resolve issues with claim rejections and/or other billing issues.
3. Performs electronic and manual posting of both insurance and consumer payments/adjustments.
4. Reviews charges prior to submission to ensure clean claims.
5. Processes billing for assigned payer sources.
6. Responds to all forms of communication (IM, telephone, email) within a timely fashion.
7. Responds to consumer questions regarding their account in a timely fashion.
8. Utilizes the Electronic Health Record (EHR) to its optimal ability by running reports to check claim status, etc.
9. Demonstrates excellent customer service skills with both internal and external customers.
10. Attends all mandatory trainings and staff meetings.
11. All other duties as assigned.

Job Specifications:

1. Education, Certification/License, and/or Experience

• High School Diploma or GED equivalent.
• 1-2 years experience preferred.
• Valid drivers license required.
• Must attain/maintain certification in Non-Violent Crisis Intervention and CPR/First Aid during employment.

Knowledge, Skills, and Abilities required: Must have knowledge of office procedures and be proficient in Microsoft Word and Excel and possesses the ability to learn and use additional computer programs. Must have the ability to coordinate multiple tasks and produce accurate work despite frequent interruptions. Excellent oral and written communication skills are required.

Physical & Mental Requirements: The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical and Mental Requirements:

The job duties outlined herein are general statements that describe the basic job requirements and cannot state in words every aspect of job content. Prestera Center reserves the right to modify, delete, or reclassify these duties at its sole discretion at any time.