Patient Accounts Insurance Billing Clerk

Responsible for filing insurance claims accurately and on time, managing related insurance correspondence, and following up on outstanding or pending claims to support proper reimbursement and resolution.

Key Responsibilities

• File insurance claims daily using the billing system/editor, electronically or by paper as required.
• Answer and resolve insurance correspondence related to claims in a timely and accurate manner.
• Work daily reports and aging summaries to follow up on unpaid or underpaid claims.
• Assist patients and customers with billing questions regarding claims, payments, and account balances.
• Maintain account statements, track payments, and support account balancing and accounts receivable aging review.
• Communicate clearly with patients, families, insurance representatives, and internal staff.
• Collect and verify patient financial and insurance information to support accurate billing and compliance.
• Follow hospital billing procedures and timelines, including the 6-day hold policy for outpatient records.
• Assist with setting up new providers in the hospital financial system.
• Support documentation, reporting, and operational workflows using available technology systems.