Position Summary
Rome Health is seeking a detail-oriented and motivated Billing Clerk to join our Revenue Cycle team. This full-time position is responsible for the accurate and timely review, validation, and submission of insurance claims, as well as denial management, account follow-up, and credit balance resolution. The ideal candidate will possess strong organizational skills, medical billing experience, and a commitment to maintaining current knowledge of payer requirements and regulatory compliance standards.
Key Responsibilities
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Review, validate, and submit insurance claims accurately and efficiently.
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Identify, correct, and resubmit rejected or denied claims in a timely manner.
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Review electronic billing system edits and claim errors daily to ensure prompt resolution.
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Conduct routine account follow-up and manage work queues, ticklers, and outstanding balances.
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Perform timely Accounts Receivable follow-up to facilitate reimbursement and reduce aging balances.
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Review and resolve credit balances according to established policies and procedures.
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Maintain current knowledge of payer guidelines, billing regulations, and compliance requirements.
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Collaborate with internal departments to obtain necessary documentation and resolve billing issues.
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Provide excellent customer service when responding to billing-related inquiries.
Qualifications
Education/Experience
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High School Diploma or GED required.
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Previous medical billing experience required.
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Experience working with insurance claims, denials, and payer follow-up preferred.
Skills
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Strong attention to detail and accuracy.
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Excellent organizational and time-management skills.
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Proficient typing and computer skills.
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Effective communication and customer service abilities.
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Ability to work independently and manage multiple priorities in a fast-paced environment.
Why Join Rome Health?
At Rome Health, you'll be part of a dedicated team committed to providing exceptional care and service to our community. We offer a supportive work environment, opportunities for professional growth, and the chance to make a meaningful impact every day.
