6 Medical Billing Clerk Job Description Templates and Examples | Himalayas

6 Medical Billing Clerk Job Description Templates and Examples

Medical Billing Clerks are responsible for processing and managing healthcare billing information, ensuring accurate and timely submission of claims to insurance companies and patients. They play a crucial role in maintaining the financial health of medical practices by verifying patient information, coding medical procedures, and resolving billing discrepancies. Junior roles focus on data entry and basic claim processing, while senior roles involve overseeing billing operations, handling complex claims, and managing teams.

1. Junior Medical Billing Clerk Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are looking for a detail-oriented Junior Medical Billing Clerk to join our growing team at [$COMPANY_NAME]. In this entry-level position, you will support the billing process by accurately processing claims, verifying patient information, and assisting in the resolution of billing inquiries. Your strong attention to detail and commitment to customer service will be critical in ensuring smooth operations and enhancing patient satisfaction.

Responsibilities

  • Assist in the preparation and submission of medical claims to insurance companies and payers
  • Verify patient insurance coverage and obtain necessary authorizations
  • Review and correct billing discrepancies to ensure accuracy
  • Communicate with healthcare providers, patients, and insurance representatives to resolve billing issues
  • Maintain organized records of bills and payments for auditing purposes
  • Stay updated on billing regulations and compliance requirements

Required and Preferred Qualifications

Required:

  • High school diploma or equivalent
  • Basic understanding of medical billing and coding principles
  • Strong attention to detail and accuracy in data entry
  • Excellent communication and customer service skills

Preferred:

  • Experience in a medical office or healthcare environment
  • Familiarity with electronic health record (EHR) systems
  • Basic knowledge of medical terminology

Technical Skills and Relevant Technologies

  • Proficiency in MS Office Suite (Word, Excel, Outlook)
  • Experience with medical billing software and databases
  • Ability to learn and adapt to new technologies quickly

Soft Skills and Cultural Fit

  • Strong organizational skills and ability to manage multiple tasks
  • Team-oriented mindset with a willingness to learn and grow
  • Ability to handle sensitive information with confidentiality and professionalism
  • Positive attitude and a proactive approach to problem-solving

Benefits and Perks

Salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Health, dental, and vision insurance
  • Retirement savings plan with company match
  • Paid time off and holidays
  • Opportunities for professional development and training

Equal Opportunity Statement

[$COMPANY_NAME] is committed to fostering a diverse and inclusive workplace. We are an Equal Opportunity Employer and encourage applicants from all backgrounds to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, disability, or any other characteristic protected by law.

Location

This role requires successful candidates to be based in-person at our office located in [$COMPANY_LOCATION].

2. Medical Billing Clerk Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a detail-oriented Medical Billing Clerk to join our dynamic healthcare team at [$COMPANY_NAME]. In this role, you will be responsible for ensuring accurate billing and coding for patient services, collaborating closely with healthcare providers to facilitate efficient revenue cycle management.

Responsibilities

  • Review and verify patient information and insurance coverage for billing accuracy
  • Prepare and submit claims to insurance companies and third-party payers
  • Ensure compliance with medical billing regulations and guidelines
  • Investigate and resolve billing discrepancies and denied claims
  • Maintain organized patient records, ensuring confidentiality and data accuracy
  • Communicate effectively with patients regarding billing inquiries and payment options

Required and Preferred Qualifications

Required:

  • High school diploma or equivalent; additional certification in medical billing preferred
  • 1+ years of experience in medical billing or coding
  • Familiarity with medical terminology, insurance processes, and billing software

Preferred:

  • Experience with electronic health record (EHR) systems
  • Knowledge of CPT, ICD-10, and HCPCS coding systems
  • Strong attention to detail and accuracy in billing processes

Technical Skills and Relevant Technologies

  • Proficiency in medical billing software and Microsoft Office Suite
  • Ability to analyze and interpret insurance policies and coverage
  • Strong organizational skills for managing multiple billing tasks

Soft Skills and Cultural Fit

  • Excellent communication skills, both verbal and written
  • Ability to work collaboratively in a fast-paced healthcare environment
  • Demonstrated problem-solving skills and attention to detail
  • Commitment to maintaining patient confidentiality and data integrity

Benefits and Perks

We offer a competitive salary and comprehensive benefits package, including:

  • Health, dental, and vision insurance
  • Paid time off and holidays
  • Retirement savings plan with employer matching
  • Opportunities for professional development and training

Location

This role requires successful candidates to be based in-person at our facility located in [$COMPANY_LOCATION].

3. Senior Medical Billing Clerk Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a highly skilled Senior Medical Billing Clerk to join our finance team at [$COMPANY_NAME]. In this role, you will be responsible for overseeing the medical billing process, ensuring accuracy, compliance, and timely submission of claims. You will play a critical role in optimizing our billing operations, enhancing revenue cycle management, and supporting our mission to provide exceptional healthcare services.

Responsibilities

  • Manage and oversee the entire billing process, including charge entry, claim submission, and payment posting.
  • Ensure compliance with federal and state regulations, as well as insurance policies and protocols.
  • Conduct audits of billing records to identify discrepancies and implement corrective actions.
  • Collaborate with healthcare providers and insurance companies to resolve billing issues and claim denials.
  • Provide training and mentorship to junior billing clerks, promoting best practices in medical billing.
  • Analyze billing data and generate reports to monitor performance metrics and identify areas for improvement.

Required and Preferred Qualifications

Required:

  • 5+ years of experience in medical billing, with a strong understanding of healthcare reimbursement processes.
  • In-depth knowledge of medical coding and billing software, including ICD-10, CPT, and HCPCS coding systems.
  • Proven ability to manage complex billing issues and maintain high accuracy rates.
  • Strong analytical skills with the ability to interpret billing data and make data-driven decisions.

Preferred:

  • Certification in medical billing and coding (e.g., CPC, CCS, or similar).
  • Experience with electronic health record (EHR) systems and billing software such as Epic or Cerner.
  • Knowledge of payer-specific billing rules and regulations.

Technical Skills and Relevant Technologies

  • Proficiency in medical billing software and electronic claim submission platforms.
  • Experience with data analysis tools and reporting software.
  • Familiarity with revenue cycle management (RCM) processes and best practices.

Soft Skills and Cultural Fit

  • Excellent verbal and written communication skills, with a focus on customer service.
  • Strong organizational skills and attention to detail, with the ability to manage multiple priorities.
  • Collaborative mindset with a commitment to fostering a positive team environment.
  • Ability to adapt to changing regulations and workflows in a dynamic healthcare landscape.

Benefits and Perks

Annual salary range: [$SALARY_RANGE].

Additional benefits may include:

  • Comprehensive health, dental, and vision insurance.
  • Retirement plan with company matching.
  • Paid time off and holidays.
  • Opportunities for professional development and continuing education.

Equal Opportunity Statement

[$COMPANY_NAME] is committed to diversity in its workforce and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sex, gender expression or identity, sexual orientation or any other basis protected by applicable law.

Location

This role requires successful candidates to be based in-person at [$COMPANY_LOCATION].

We encourage applicants who may not meet all the preferred qualifications to apply, as we value diverse experiences and perspectives.

4. Medical Billing Specialist Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a detail-oriented Medical Billing Specialist to join our dynamic healthcare team. In this role, you will be responsible for managing the billing process for patient services, ensuring accurate and timely submission of claims to insurance providers, and addressing any discrepancies in payment.

Responsibilities

  • Review and verify patient information and insurance details to ensure accuracy in billing
  • Prepare and submit claims to insurance companies and follow up on the status of claims
  • Resolve any billing issues or discrepancies with patients and insurance providers
  • Maintain detailed records of patient accounts and payments
  • Stay updated on changes in billing regulations and insurance policies
  • Collaborate with healthcare providers to ensure accurate coding and documentation

Required and Preferred Qualifications

Required:

  • High school diploma or equivalent; relevant certification in medical billing and coding preferred
  • 1+ years of experience in medical billing or healthcare administration
  • Strong knowledge of medical terminology and coding systems (ICD-10, CPT)
  • Proficiency in billing software and electronic health record (EHR) systems

Preferred:

  • Experience working with various insurance companies and understanding their billing processes
  • Excellent organizational skills and attention to detail
  • Strong communication skills, both verbal and written

Technical Skills and Relevant Technologies

  • Proficient in medical billing software and applications
  • Experience with EHR systems and practice management software
  • Familiarity with Microsoft Office Suite, particularly Excel

Soft Skills and Cultural Fit

  • Ability to work independently and as part of a team in a fast-paced environment
  • Strong analytical and problem-solving skills
  • Commitment to maintaining patient confidentiality and adhering to HIPAA regulations
  • Empathetic approach in dealing with patients and their billing inquiries

Benefits and Perks

Salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Health, dental, and vision insurance
  • Retirement savings plan with employer match
  • Paid time off and holidays
  • Opportunities for professional development and continuing education

Location

This role requires successful candidates to be based in-person at [$COMPANY_LOCATION].

5. Medical Billing Supervisor Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are looking for a detail-oriented Medical Billing Supervisor to join our dynamic healthcare team at [$COMPANY_NAME]. In this pivotal role, you will oversee the billing department, ensuring accurate and timely submission of claims while leading a team of billing specialists. Your expertise will help us maintain our commitment to financial integrity and operational excellence within our organization.

Responsibilities

  • Supervise and mentor a team of billing specialists, providing guidance and support to enhance their performance and career development.
  • Oversee the complete billing cycle, from charge entry to claims submission, ensuring adherence to compliance standards and accuracy in all processes.
  • Identify and resolve billing discrepancies by collaborating with healthcare providers, insurance companies, and internal stakeholders.
  • Implement and monitor key performance indicators (KPIs) to assess the efficiency and effectiveness of billing operations.
  • Conduct regular audits of billing processes to ensure adherence to policies and identify areas for improvement.
  • Stay updated with changes in healthcare regulations and billing practices, providing training to the team as needed.

Required and Preferred Qualifications

Required:

  • 5+ years of experience in medical billing, with at least 2 years in a supervisory role.
  • In-depth knowledge of medical coding systems (CPT, ICD-10) and billing regulations.
  • Strong analytical and problem-solving skills, with the ability to interpret complex billing data.

Preferred:

  • Experience with electronic health record (EHR) systems and practice management software.
  • Certification in medical billing and coding (e.g., CPC, CCS, or similar).
  • Proven ability to drive process improvements and enhance operational efficiency.

Technical Skills and Relevant Technologies

  • Proficient in medical billing software and electronic claims submission tools.
  • Familiarity with healthcare compliance regulations and standards (e.g., HIPAA).
  • Experience with data analysis tools to track billing performance metrics.

Soft Skills and Cultural Fit

  • Exceptional leadership skills with a focus on team development and performance management.
  • Strong communication and interpersonal skills to effectively liaise with diverse stakeholders.
  • Ability to handle sensitive information with discretion and confidentiality.
  • Detail-oriented mindset with a commitment to accuracy and quality in work output.
  • A proactive approach to problem-solving and conflict resolution.

Benefits and Perks

We offer a competitive salary range of [$SALARY_RANGE], along with a comprehensive benefits package that includes:

  • Health, dental, and vision insurance.
  • Retirement plan options with company matching.
  • Generous paid time off (PTO) policy.
  • Professional development opportunities and training programs.
  • Flexible work arrangements with a hybrid work model.

Equal Opportunity Statement

[$COMPANY_NAME] is committed to fostering a diverse and inclusive workplace. We welcome all qualified applicants and provide equal employment opportunities regardless of race, color, religion, gender, national origin, age, disability, or any other protected characteristic.

Location

This is a hybrid position, requiring successful candidates to work from the office in [$COMPANY_LOCATION] at least 3 days a week while allowing for remote work flexibility.

We encourage applicants to apply even if they don't meet all the requirements. Your unique experiences and perspectives could be a valuable addition to our team.

6. Medical Billing Manager Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are looking for a skilled and detail-oriented Medical Billing Manager to oversee and optimize our billing operations. In this role, you will be responsible for managing the billing team, ensuring accurate and timely submission of claims, and streamlining processes to enhance revenue cycle efficiency. You will play a critical role in maintaining compliance and fostering a culture of excellence in service delivery.

Responsibilities

  • Lead, mentor, and manage the medical billing team to ensure optimal performance and professional development
  • Oversee the submission of claims to insurance companies, ensuring accuracy and compliance with regulatory standards
  • Analyze billing processes and implement improvements to increase efficiency and reduce errors
  • Monitor accounts receivable, follow up on outstanding claims, and manage denial resolutions
  • Collaborate with healthcare providers to resolve billing discrepancies and improve patient satisfaction
  • Conduct regular audits of billing practices to ensure compliance with industry regulations and internal policies
  • Provide training and support to staff on billing software and coding systems
  • Generate reports and metrics to assess billing performance and identify areas for improvement

Required and Preferred Qualifications

Required:

  • 5+ years of experience in medical billing, with at least 2 years in a managerial role
  • In-depth knowledge of medical billing codes, billing regulations, and insurance processes
  • Proficient in billing software and electronic health record (EHR) systems
  • Strong analytical skills with a proven track record of improving billing processes

Preferred:

  • Bachelor's degree in healthcare administration, business administration, or related field
  • Certification in medical billing and coding (e.g., CPC, CCS) is a plus
  • Experience with revenue cycle management and compliance audits
  • Familiarity with healthcare reimbursement methodologies

Technical Skills and Relevant Technologies

  • Expertise in medical billing software and electronic claim submission processes
  • Proficient in data analysis tools and reporting software
  • Experience with healthcare management systems and patient management software

Soft Skills and Cultural Fit

  • Excellent verbal and written communication skills
  • Strong leadership abilities with a focus on team collaboration and development
  • Detail-oriented mindset with a commitment to accuracy
  • Ability to thrive in a fast-paced environment and manage competing priorities
  • Proactive problem-solving skills with a customer-centric approach

Benefits and Perks

Annual salary range: [$SALARY_RANGE]

Additional benefits include:

  • Health, dental, and vision insurance
  • Retirement plan with employer matching
  • Paid time off and flexible scheduling
  • Professional development opportunities and continuing education reimbursements
  • Wellness programs and employee assistance services

Equal Opportunity Statement

[$COMPANY_NAME] is committed to fostering a diverse workplace and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, disability, veteran status, sexual orientation, or any other basis protected by applicable law.

Location

This is a hybrid position, requiring successful candidates to work from the office at least 3 days a week.

We encourage applicants from diverse backgrounds to apply, even if you don't meet all the qualifications listed. Your unique experiences and perspectives can contribute significantly to our team.

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