Medical Billing Clerk

The Medical Billing Clerk is responsible for the appropriate billing and coding of assigned accounts. Responsibilities include claim submission, insurance follow-up, denial management, deductible management, timely filing, and handling incoming calls from patients and insurance payers.

Specific Duties

• Code ambulance, wheelchair, or stretcher transports
• Assign appropriate ICD-10, HCPCS, and modifiers for ambulance services on each claim
• Review patient care reports to analyze and perform claim coding
• Submit claims for reimbursement to insurance carriers
• Follow up on unpaid claims and initiate claim status inquiries with insurance payers
• Work claims and claim denials to help ensure maximum reimbursement
• Assist patients with self-pay arrangements
• Manage timely filing and deductible queues
• Meet standard productivity expectations
• Follow company policies and procedures
• Maintain complete knowledge of billing and coding procedures
• Comply with federal, state, and local laws, rules, regulations, and guidelines related to reimbursement, collections, and compliance
• Work effectively as part of a team
• Complete and maintain appropriate training, certification, and licensure for the position
• Maintain professionalism and strong customer service when working with patients, families, co-workers, clients, other healthcare providers, and the public
• Notify the Billing Supervisor of any documentation lapses affecting compliance or HIPAA standards
• Maintain security and privacy of company and patient information in accordance with HIPAA and applicable regulations
• Report questions or concerns related to billing, collections, or compliance to the Billing Supervisor
• Perform other billing, coding, and account management duties as needed