Billing Charge Entry Clerk

Billing Duties

• Perform daily charge entry to ensure accurate and timely posting of patient encounters and services.
• Prepare and submit billing charges to insurance carriers and other third-party payers in accordance with established timelines.
• Follow up on delinquent claims.
• Use coded dates to produce claims to insurance companies.
• Verify patients’ insurance coverage.
• Answer patients’ billing questions.
• Perform posting charges and completion of claims to payers on time.
• Work with third party insurances to obtain maximum level of cash to reduce receivable.
• Ensure correct processing of outstanding insurance claims by:
• Interpreting insurance payer responses.
• Requesting account level adjustments.
• Submitting appeals and claims reconsiderations.
• Evaluating financial responsibility of patients.
• Resolving insurance denials and claim rejection.

Registrar Duties

• Serve as a welcoming first point of contact by greeting patients in person and by phone, addressing questions and concerns with professionalism, courtesy, and compassion.
• Accurately collect, enter, and update patient demographic, insurance, and scheduling information in the electronic health record.
• Schedule, reschedule, and confirm appointments including follow-ups, call-ins, and walk-ins as well as provide reminder calls to support patient engagement and reduce missed visits.
• Maintain provider schedules and distribute daily schedules to providers and clinical support staff to promote efficient clinic flow.
• Assist patients with general insurance, billing, or process questions and connect them with the appropriate team member for additional support when needed.
• Maintain registration materials and supplies and ensure the front-office area remains clean, organized, and welcoming.
• Communicate clearly, calmly, and accurately when documenting or relaying information received by phone or in person.

Qualifications

• A High School Diploma or GED is required.
• An Associate degree in Healthcare Administration, Medical Billing and Coding, Business Administration, or a related field is preferred.
• A minimum of one (1) to three (3) years of experience in medical billing, charge entry, revenue cycle management, patient registration, or a related healthcare administrative role is preferred.
• Experience working with electronic health records (EHR) and practice management systems is required.
• Experience with Medicaid, Medicare, commercial insurance plans, and managed care billing is preferred.