The Senior Billing Clerk resolves patient accounts by performing claims processing, denial management and follow-up activities to effectively collect balances due- maximizing reimbursement while maintaining favorable public relations. Part of a payor team, this position is assigned a specific portion of the accounts receivable and is held accountable for the activity within the assigned A/R.

Specific responsibilities include:

• Submitting of facility related medical claims to insurance and third party payers

• Communicating effectively with coworkers, Health Information Services, Information Technology and charging departments to resolve charging and coding related queries

• Reviewing, preparing and submitting electronic and paper claims for accuracy and completeness, obtaining and updating missing information to clear all edits before release

• Monitoring and following up on unpaid claims until resolved; may include calls, writing appeals, providing records etc.

• Researching and escalating denied, disputed, improper claim remit trends to management where appropriate

• Analyzing financial transactions to answer patient queries

• Completing assigned payer audits in timely manner

Job Requirements

• High School graduate or equivalent required.

• Computer skills required.

• A minimum of two (2) years of healthcare insurance billing training and experience in a health-related facility preferred.