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Title

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Medical Billing Clerk

Description

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We are looking for a dedicated and detail-oriented Medical Billing Clerk to join our healthcare team. The ideal candidate will be responsible for managing patient billing processes, handling insurance claims, and ensuring accurate and timely submission of claims to insurance companies. This role requires a strong understanding of medical billing procedures, coding, and insurance guidelines. The Medical Billing Clerk will work closely with healthcare providers, patients, and insurance companies to resolve billing issues and ensure that payments are received promptly. The successful candidate will have excellent communication skills, a keen eye for detail, and the ability to work efficiently in a fast-paced environment. Key responsibilities include verifying patient insurance coverage, preparing and submitting claims, following up on unpaid claims, and maintaining accurate billing records. The Medical Billing Clerk will also be responsible for addressing patient inquiries regarding billing and insurance, as well as working with insurance companies to resolve any discrepancies. This role is critical to the financial health of our healthcare facility, and we are seeking a candidate who is committed to providing exceptional service and support to our patients and staff.

Responsibilities

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  • Verify patient insurance coverage and eligibility.
  • Prepare and submit insurance claims accurately and timely.
  • Follow up on unpaid or denied claims.
  • Resolve billing discrepancies with insurance companies.
  • Maintain accurate and up-to-date billing records.
  • Communicate with patients regarding billing inquiries.
  • Work with healthcare providers to ensure accurate coding.
  • Process patient payments and manage payment plans.
  • Generate and review billing reports.
  • Ensure compliance with billing regulations and guidelines.
  • Assist with audits and reviews of billing processes.
  • Provide support to the billing department as needed.
  • Stay updated on changes in insurance policies and billing procedures.
  • Collaborate with other departments to improve billing processes.
  • Handle patient complaints and escalate issues as necessary.

Requirements

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  • High school diploma or equivalent; associate's degree preferred.
  • Minimum of 2 years of experience in medical billing or a related field.
  • Strong understanding of medical billing procedures and coding.
  • Familiarity with insurance guidelines and regulations.
  • Proficiency in medical billing software and electronic health records (EHR) systems.
  • Excellent communication and interpersonal skills.
  • Attention to detail and strong organizational skills.
  • Ability to work independently and as part of a team.
  • Strong problem-solving skills.
  • Ability to handle sensitive and confidential information.
  • Knowledge of HIPAA regulations.
  • Ability to multitask and manage time effectively.
  • Customer service-oriented mindset.
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
  • Willingness to stay updated on industry trends and changes.

Potential interview questions

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  • Can you describe your experience with medical billing and coding?
  • How do you ensure accuracy when submitting insurance claims?
  • What steps do you take to follow up on unpaid or denied claims?
  • How do you handle billing discrepancies with insurance companies?
  • Can you provide an example of how you resolved a complex billing issue?
  • How do you stay updated on changes in insurance policies and billing procedures?
  • What software and tools are you proficient in for medical billing?
  • How do you handle patient inquiries and complaints regarding billing?
  • Can you describe a time when you had to work under pressure to meet a billing deadline?
  • How do you ensure compliance with HIPAA regulations in your billing processes?
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