Billing Clerk

Organizational Relationships

Position Title: Billing Clerk 1-FIS011
Department: Administration
Location: Albany, GA
Announcement Begin Date: 5/18/2026
Wage: Up to: $29,500.00 Annual
Position Type: Full Time
Schedule: 8:00am-5:00pm M-F

Qualifications

• Knowledge of basic accounting, data entry, balancing accounts, ability to follow processing guidelines according to agency procedures, ability to use appropriate software (e.g., MS Office, EMR), ability to handle money and checks, skills in basic math, ability to address patients/customers in a courteous and professional manner, knowledge of billing policies and procedures.
• A high school diploma. One or more years of experience in working insurance and denials for effective resolution. Experience working with Electronic Medical Records. Two or more years in medical billing and collections. Functional knowledge of computer and Microsoft Office.
• No lifting of more than 20 pounds.
• Preference for: one or more years in State Contract Service Environment.
  Preference for: one or more years working with Developmental Disability billing.

Assigned Duties

• Entering and processing claim data:
• Provides ongoing/on-call operational and end-user assistance.
• Analyzes and resolves problems on a local level in an accurate and timely manner.
• Post and track payments.
• Communicate with providers with progress in resolving billing issues.
• Generate and send client statements monthly.
• Enter financial or billing formation in clients' accounts.
• Work monthly aging reports for outstanding balances and resubmit corrected claims.
• Resolve insurance authorizations and denials.
• Submit appeals to insurance companies as needed to secure payments on claims.
• Serve as point of contact for clients that have questions regarding their statements or account.
• Answers calls from local administrators and/or users in a timely, efficient, and professional manner.
• Document problems and resolutions within agency support system.
• Listens to end-users and maintain a professional business relationship.
• Entering and processing all billing data for Developmental Disability Participants (if assigned):
• Calculate data and complete monthly reports of DD services for CEO and State required reports.
• Track authorizations and notify appropriate staff when any consumers' authorizations are going to expire (30 days ahead of expiration) and if units are depleted and new authorizations are needed.
• Works with managers and supervisors to assist with all billing and authorization problems and reaches a resolution in a timely manner.
• Shares responsibility of downloading and filing assigned insurance each week and not later than Friday of each week and posting of payments.
• Communicates with insurance providers to reach resolutions for billing issues and reports to appropriate staff and CIMO of all issues that will cause a claim rejection, billing, coding, and use of modifier issues and errors.
• Works insurance denials to reach resolution within 5 days from the date the RA is received. Alerts appropriate staff of needed changes or corrections and follows through to ensure claim is resubmitted within the time limits for each insurance provider.
• Works with DD managers and supervisors to assist with all billing and authorization problems and reaches a resolution in a timely manner. Notify immediate supervisor if problems are not resolved within 5 days.
• Entering and processing all billing data for non-DD claims (if assigned):
• Extract, enter, works insurance denials to reach resolution within 5 days from the date the RA is received. Alerts appropriate staff of needed changes or corrections, and follows through to ensure claims is resubmitted within the time limits for each insurance provider.
• Works with managers and supervisors to assist with all billing and authorization problems, and reaches a resolution in a timely manner. Notify immediate supervisor if problems are not resolved within 5 days.
• Medical Records Support:
• Provide support to the Medical Records Department by releasing medical information in either oral or written format. Obtain necessary releases from individuals, following HIPAA regulations, to allow for the release of such medical information.

Performance Improvement

The Albany Area Community Service Board goal is to continually improve the delivery of service by improving consumer outcomes and satisfaction. All employees have a role in performance improvement and are expected to interact collaboratively with co-workers, and other contacts to provide consistent, high-quality, consumer focused services.

Medical Records Support

• Provide support to the Medical Records Department by releasing medical information in either oral or written format. Obtain necessary releases from individuals, following HIPAA regulations, to allow for the release of such medical information.