Business Office Clerk

Business Office Clerk

Location: 1609 Mockingbird Court, Florence, AL
Department: Business Office / Revenue Cycle
Status: Full-Time

Position Overview

The Business Office Clerk supports the revenue cycle by managing claim denials, patient accounts, insurance verification, and payment processing. This role serves as a primary contact for patients and staff regarding billing and insurance questions and resolves routine and complex account issues while ensuring accuracy, documentation, and payer compliance.

Primary Priority: Work the claim denial task bucket daily — research, correct, and forward claims for appeal or reprocessing to ensure timely reimbursement.

Key Responsibilities

• Work      denial work queue and billing tasks daily
• Research      claim denials, correct claims, and submit to billing team for appeal or      reprocessing
• Respond      to patient and staff billing inquiries and resolve account issues
• Verify      insurance coverage, benefits, and authorizations
• Ensure      required documentation is present prior to billing
• Review      and validate superbills before submission to billing team
• Enter      hospital charges weekly
• Verify      and update insurance at patient check-in
• Create      daily clinic schedules to ensure copays and balances are addressed
• Establish      patient payment plans as needed
• Process      payments (credit card, checks, Papaya) and prepare deposits
• Upload      mailed payments for posting
• Serve      as insurance resource for outpatient clinic staff

Compliance

• Follow      all HIPAA, regulatory, and company policies
• Report      compliance concerns to supervisor/HIPAA Officer
• Participate      in required training and quality improvement activities

Qualifications

• High      school diploma or equivalent required
• Minimum      2 years medical office or billing experience preferred
• Working      knowledge of CPT, HCPCS, and ICD-10 coding

Skills

• Experience      with EMR and practice management systems
• Knowledge      of insurance billing and denial resolution
• Strong      attention to detail and organization
• Ability      to multitask in a fast-paced environment
• Sound      judgment and quick decision-making ability
• Maintains      confidentiality of sensitive information
• Excellent      written and verbal communication skills
• Strong      interpersonal skills with patients and healthcare professionals
• Ability      to work independently and maintain productivity
• Team-oriented      with strong customer service skills