Billing Clerk

Job Description

Job Description

We are looking for a dedicated Billing Clerk to join our team in Bethlehem, Pennsylvania. In this long-term contract to hire position, you will play a critical role in managing insurance claims, school billing processes, and ensuring accurate financial operations. The ideal candidate will have experience in Medicaid billing and accounts receivable, with a strong attention to detail and commitment to timely reimbursements and payments.

Responsibilities :

• Process insurance claims for commercial and Managed Medicaid reimbursement, including secondary claims, ensuring timely submissions.
• Assist patients in establishing self-pay arrangements and payment plans tailored to their needs.
• Post and track payments within the accounts receivable system, maintaining accuracy in financial records.
• Investigate and resolve billing issues, adhering to payor collection timelines.
• Coordinate private pay collections following insurance cancellations, denials, or similar issues under the guidance of the Administrative Director.
• Enter client authorizations and necessary documentation into the billing system, ensuring compliance with school contracts.
• Track mileage reimbursements and process school billing efficiently.
• Review and verify staff timesheets for billing purposes, addressing coding errors or overlapping times.
• Train new employees on billing procedures and system operations to support cross-training initiatives.
• Maintain and troubleshoot billing platform functionalities, including service codes and authorizations, as required.
• Proven experience in Medicaid billing and eligibility processes.
• Strong knowledge of accounts receivable practices and procedures.
• Familiarity with billing systems, such as Central Reach, or similar platforms.
• Ability to accurately process insurance claims and reimbursements.
• Excellent problem-solving skills for resolving billing issues.
• Effective communication skills to assist patients and collaborate with staff.
• Experience in training employees on billing systems and procedures.
• Strong organizational skills to manage multiple billing tasks and deadlines.