Hospital Billing Clerk Job Description Overview
As a Hospital Billing Clerk, you play a crucial role in the Healthcare/Billing sector by ensuring accurate and timely billing processes, contributing directly to the financial success of the organization. Your role impacts team collaboration by fostering communication between billing, clinical, and administrative departments to streamline revenue cycles. With the evolving landscape of healthcare regulations and technologies, staying abreast of industry trends is vital to ensure compliance and efficiency. You will interact with key stakeholders including patients, insurance companies, and internal departments, holding a pivotal position in the revenue management structure. Success in this role is measured by meeting billing accuracy rates, reducing claim denials, and optimizing revenue collection.
Key Responsibilities
- Project Planning and Execution: You will be responsible for planning and executing billing projects, ensuring timely submission of claims and resolving any billing discrepancies promptly.
- Problem-Solving and Decision-Making: Your role involves analyzing billing issues, identifying root causes, and making decisions on claim adjustments or resubmissions to maximize revenue capture.
- Collaboration with Cross-Functional Teams: You will collaborate with clinical staff, coders, and insurance specialists to ensure accurate billing information and resolve billing inquiries effectively.
- Leadership and Mentorship: Providing guidance to junior billing staff on best practices, compliance requirements, and innovative billing strategies to enhance team performance.
- Process Improvement and Innovation: Continuously evaluate billing processes, recommend improvements, and implement innovative solutions to enhance efficiency and revenue outcomes.
- Technical or Customer-Facing Responsibilities: Engage with patients and insurance providers to clarify billing inquiries, explain charges, and provide exceptional customer service to resolve billing disputes.
Required Skills and Qualifications
- Technical Skills: Proficiency in medical billing software, knowledge of ICD-10 and CPT coding, experience with electronic health records (EHR) systems, familiarity with billing regulations.
- Educational Requirements: High school diploma or equivalent required, certification in medical billing and coding preferred.
- Experience Level: 2+ years of experience in hospital billing, understanding of insurance claims processing, previous experience in revenue cycle management.
- Soft Skills: Excellent communication skills, attention to detail, problem-solving abilities, ability to work under pressure, strong organizational skills.
- Industry Knowledge: Understanding of HIPAA regulations, knowledge of Medicare and Medicaid billing guidelines, familiarity with medical terminology.
Preferred Qualifications
- Experience in a hospital or healthcare setting.
- Holding a Certified Professional Biller (CPB) certification.
- Familiarity with emerging healthcare technologies.
- Demonstrated success in optimizing revenue cycles.
- Participation in healthcare billing workshops or seminars.
- Proficiency in a second language for diverse patient interactions.
Compensation and Benefits
- Base Salary: Competitive salary based on experience and qualifications.
- Bonuses & Incentives: Performance-based bonuses and recognition programs.
- Health & Wellness: Medical, dental, and vision insurance coverage.
- Retirement Plans: 401(k) retirement savings plan with employer match.
- Paid Time Off: Generous vacation, sick leave, and holidays.
- Career Growth: Opportunities for training, professional development, and advancement within the organization.
Application Process
Joining our team as a Hospital Billing Clerk involves a thorough application process to ensure the right fit for both you and our organization.
- Submitting Your Application: Please submit your resume and cover letter through our online application portal.
- Initial Screening: Our HR team will review your application and reach out to schedule a screening interview to discuss your qualifications and interest in the role.
- Technical and Skills Assessment: Depending on the role, you may be required to complete a skills assessment or case study to evaluate your abilities.
- Final Interview: Successful candidates will proceed to a final interview with the hiring manager to assess your fit for the position and team dynamics.
- Offer and Onboarding: Upon selection, you will receive an official offer, followed by the onboarding process to welcome you to our team.
