The billing clerk is a member of the accounting team whose primary responsibilities include the daily input
of charges and payments into the practice management system and the daily processing of insurance
and other third party payer claims. The billing clerk works collaboratively with other members of the
accounting department to ensure timely and accurate submission of patient remittance claims.
-Manual Charge Entry = Input data from paper encounter forms such as hospital, nursing home, home
health, labs, and body boxes. Charge entry will also be used for correcting claims that contain errors, that
denied, or that rejected.
-Electronic Charge Entry (Super Bills) = Review CPT Codes, ICD-10 Codes, Patient Information,
insurance information, charge information, billing/examining provider for information accuracy.
-Manual Payment Posting = Input data from insurance remittance advices and patient payment batches
into practice management system.
-Electronic Payment Posting = Review and post batches from Electronic Remittance Advices (ERA)
-Claims Submissions = Processes electronic claims (and paper claims when applicable) to third party
payers on a daily basis
-Claims Correction = Review all claims that have been denied or rejected on a weekly basis
-Assists other members of the organization as required or assigned
-Performs other necessary duties as required by the health center to meet the goal of providing primary
health care services
-High School diploma or equivalent
-Some college preferred
-3 years or more experience in the medical office working with insurance claims processing involving
CPT, HCPCS, ICD-10CM, and CMS regulations
-Familiarity with CMS1500, ADA, and UB04 claim form completion
-Strong analytical, oral, written communications skills
-Familiarity with health insurance and other third party billing practices and guidelines
-Must be qualified in basic life support techniques