Job DetailsJob Location: ENT & Allergy of Delaware - 700 Prides Crossing - NEWARK, DE 19713Position Type: Full TimeTravel Percentage: Instate multi-clinic travelA/R Billing Clerk Reports to: Billing Manager Job Description Summary/objective The A/R Billing team member manages billing and collections in a medical office, including verifying insurance, submitting claims, following up on unpaid claims, and posting payments. They resolve billing issues, communicate with patients about payment plans, and ensure accurate financial records. The role also involves preparing billing reports and ensuring compliance with insurance policies and coding standards. Strong communication, organization, and proficiency in billing software are key for success. Essential functions • Identify the root cause of insurance denials, send appeals to payors, and take appropriate actions to assure prompt payment. • Process claims through clearinghouse, reviews report, identifies denied claims, research, and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer. • Document follow-up appropriately in the practice management system • Perform collection actions, including third-party appeals and resubmitting claims to third party payers via email/website or written inquiries. • Identify and bill secondary or tertiary insurances. Mail out HCFA with EOB • Reconcile carrier submissions, edits, and rejection reports while working aging reports • Resolve incoming patient calls with excellent customer service skills. • Employ tactfulness in dealing with insurance companies/patients regarding accounts in verbal and written communication, while always professional and courteous. • Identify, verify, and document adjustments according to established policies and procedures. • Reviews payment postings for accuracy and to ensure correct fee schedule • Works with co-workers to resolve payment and billing errors. • Process patient bills/print/mail statements and post refunds • Contacts third party payers to resolve payer issues, expedite claim processing, and maximize medical claim reimbursement. • Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials working directly with the payers • Follow through on claim denials and rejections on timely basis • Other duties as requested or assigned by direct report Competencies • Ability to thrive in a fast-paced environment • Excellent customer service and computer skills • Strong verbal and written communication skills • Friendly, personable demeanor • Detail oriented Physical demands Must be able to occasionally lift and / or move up to or more than 25 pounds. Frequent sitting with occasional standing and walking. Utilization of hand and finger dexterity for computer work and the viewing of a computer screen for the majority of the day.. Required education and experience • Highschool diploma or GED Preferred education and experience • Medical Billing experienced preferred but not required • Preference for specialty medicine billers Affirmative Action/EEO statement We are committed to a diverse and inclusive workplace. The Company is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or another legally protected status. Other duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Qualifications

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