Billing and Collection Clerk

Job DetailsJob Location: Corporate Headquarters - Gary, IN 46402JOB TITLE: Billing and Collection Clerk   JOB SUMMARY: The Billing and Collection Clerk is responsible for processing third-party billing and ensuring timely and accurate reimbursement for services provided. This position also involves proactive follow-up on unpaid or denied claims after 30 days and maintaining compliance with updated billing policies and payer guidelines. The Clerk works closely with clinical and administrative teams to support effective revenue cycle management.   DUTIES AND RESPONSIBILITIES:   A. Direct Services Review billing data for accuracy and completeness prior to submission. Generate and review E.R.S. reports (5.4 – CMHC SYSTEM) for each funding source to identify and address unbilled events. Respond to inquiries from physicians, patients, hospitals, insurance companies, and government agencies to resolve issues related to submitted claims. Collaborate with supervisors or billing sources to resolve billing questions or discrepancies. Maintain detailed billing logs for Medicare (Part A and B) and inpatient Medicaid services, identifying covered and non-covered services, deductibles, and coinsurance. Operate basic office equipment including computers, copiers, calculators, and telephones. Utilize CPT (Current Procedural Terminology – latest edition) and ICD (International Classification of Diseases – most current revision) codes in claims processing. Demonstrate familiarity with medical billing terminology and insurance payer requirements. Perform basic mathematical calculations including addition, subtraction, multiplication, percentages, and decimals. Maintain a typing speed of at least 40 words per minute. B. Administrative Enter Service Activity Logs (SALs) into the billing system promptly. Prepare and submit invoices or claim vouchers for third-party payers when electronic billing is not available, including Medicare, Medicaid, commercial insurances, and public entities (state, county, city). Assist with additional tasks and responsibilities as assigned by the supervisor. C. General Responsibilities Conduct all duties in accordance with ethical and professional standards. Adhere to all organizational policies and procedures. Assist in identifying and resolving situations that may pose safety risks to clients, staff, or others. Pursue professional development through training, literature, and workshops. Collaborate with supervisor to implement an Individual Professional Development Plan. Support compliance with all relevant licensing, regulatory, and accreditation standards. QualificationsPREFERRED QUALIFICATIONS: Strong attention to detail and organizational skills. Excellent verbal and written communication skills. Ability to work independently and as part of a team. Valid driver's license with a good driving record. Access to a reliable, insured vehicle with valid license plates (if position requires travel). SUPERVISED BY:  Hired, supervised and evaluated by the Revenue Cycle Supervisor and/or Revenue Cycle Manager. EMPLOYEES SUPERVISED: None MINIMUM QUALIFICATIONS: Education - High school diploma or equivalent required. Associate’s degree or certification in medical billing, accounting, or related field preferred. Experience - One (1) year of medical billing or collections experience preferred; experience in behavioral healthcare setting is a plus. TYPICAL PHYSICAL DEMANDS: Occasional standing, walking, lifting, reaching, kneeling, bending, stooping, pushing and pulling. Occasional lifting and/or moving up to 25 pounds. Frequent sitting. Manual dexterity. Good reading eyesight and vision for close work. Ability to communicate by speaking and hearing in person or on the phone COMMENTS: This description is intended to describe the essential job functions and the essential requirements for the performance of this job.  It is not an exhaustive list of all duties, responsibilities and requirements of the position.  Other functions may be assigned, and management retains the right to add or change the duties at any time.