Billing Clerk (10632)

JOB TITLE

Billing Clerk

REPORTS TO

Billing Manager

SUPERVISION EXERCISED

N/A

FLSA STATUS

Non-Exempt

SALARY RANGE

$17.00 - $27.00

JOB SUMMARY

The Billing Clerk supports all billing functions for the health center, including entering patient charges and payments, performing insurance billing, processing adjustments, and maintaining accurate accounts receivable. This role requires working within an FQHC environment and ensuring full compliance with federal, state, and payer‑specific regulations such as HRSA requirements, Medicaid/Medicare FQHC billing rules, UDS reporting needs, and sliding fee scale documentation requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Posts patient and third‑party payments accurately, including coding adjustments, write‑offs, and denials.
• Processes insurance claims for Medicaid, Medicare, commercial insurers, and FQHC‑specific payers using appropriate encounter/visit types and billing methodologies.
• Ensures all billing practices comply with FQHC requirements, including PPS/APM billing rules, required modifiers, and payer‑specific encounter criteria.
• Reviews encounters for completeness and accuracy, ensuring alignment with UDS reporting and HRSA documentation standards.
• Supports management of the sliding fee discount program by verifying documentation, ensuring proper application of discount codes, and maintaining compliance with FQHC policy.
• Generates and distributes monthly patient statements, balance reports, and collection notices.
• Conducts routine claims follow‑up, rebills corrected claims, and handles appeals.
• Responds to patient calls regarding billing concerns, providing excellent customer service aligned with the health center's mission.
• Performs annual system maintenance, including the purging of records according to retention policies and federal requirements.
• Maintains confidentiality and safeguards protected health information (PHI) in compliance with HIPAA.
• Demonstrates initiative, uses independent judgment, and represents organizational values.

KNOWLEDGE, SKILLS, AND ABILITIES

• Computer skills
• Knowledge of medical and dental terminology
• Knowledge of business office procedures
• Ability to multi-task and prioritize workload.
• Excellent organizational skills.
• Great communication skills and interpersonal skills.

EDUCATION

High School Diploma or GED

EXPERIENCE

N/A

CERTIFCATE/LICENSE

N/A

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform the functions.

While performing the duties of this position, the employee is regularly required to talk or listen. The employee frequently is required to use hands or finger, handle, or feel objects, tools, or controls. The employee is occasionally required to stand, walk, sit, reach with hands and arms, climb or balance, and stoop, kneel, crouch, or crawl.

The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust and focus.

The noise level in the work environment is usually moderate.

MACHINERY AND EQUIPMENT USED

Personal computer, multi-line telephone system, facsimile machine, and copier

NOTE

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All applicants made a conditional offer of employment must cooperate fully with background investigations. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an "at will" relationship.

Reviewed with employee by:

Manager's Name:____ Date:

Received and accepted by:

Employee's Name: ___ Date: __

NOTCH is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

KNOWLEDGE, SKILLS AND ABILITIES

• Computer skills
• Knowledge of medical terminology
• Knowledge of business office procedures

EDUCATION

High School Diploma or GED

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or finger, handle, or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl.

The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust and focus.

The noise level in the work environment is usually moderate.