Insurance Clerk

DODGE COUNTY HOSPITAL; Nebraska; On-site; USD 40,000 - 60,000; Full time

Job summary

Dodge County Hospital in Nebraska is seeking an experienced Clinic Biller for a full-time role. You will handle insurance billing, ensure coding accuracy, and participate in improved payment processes.

Responsibilities include AR management, coding validation, and coordination with patients and insurers to resolve claims while maintaining HIPAA compliance and professional interactions.

Qualifications

• Requires experience in medical billing and coding accuracy.
• Must be able to read and comprehend medical terminology.
• Knowledge of ICD-10, CPT, and HCPCS Level II.
• Familiarity with Medicare/Medicaid processes and payer requirements.

Responsibilities

• Maintains accounts receivable for the office/clinic.
• Maintains financial records; contractual allowances, refunds, write-offs.
• Assigns ICD-10 and other codes to procedures and diagnoses.
• Verifies insurance information and determines patient charges.
• Monitors billing and collections; follows up on unpaid/denied claims.
• Reviews medical records to ensure accurate coding and billing.
• Maintains HIPAA confidentiality.
• Interacts professionally with patients and insurance companies.
• Keeps insurance company master list up to date.

Skills

Medical billing

ICD-10 coding

CPT coding

HCPCS Level II

Medicare/Medicaid knowledge

E-Clinical experience

Data entry

Medical terminology

Bookkeeping basics

Education

High school diploma or GED

Bookkeeping or accounting courses

DCH education units per year

DCH mandatory annual training

Ability to read medical terminology

Job description

Position Summary

PREVIOUS EXPERIENCE IN MEDICAL BILLING REQUIRED

Job Posting

Clinic Biller Full-time

Position Summary

PREVIOUS EXPERIENCE IN MEDICAL BILLING REQUIRED

Responsible for the insurance billing process between the physician offices, hospital, and insurance companies, federal agencies, and third-party payers. Audits patient accounts to ensure procedure, charges, and coding accuracy. Collects payments from commercial insurance companies, state, and federal agencies. Participates in performance improvement and quality activities.

Education

• Requires a high school diploma or a GED state certification.
• Courses taken in bookkeeping or accounting preferred.
• Requires 5 basic units of DCH education units per year.
• Requires DCH mandatory annual training.
• Ability to read, legibly write, and comprehend medical terminology, follow instructions, and perform simple mathematical calculations.

Experience

• Two years of experience in billing, insurance, office procedures in a medical setting preferred.
• E-Clinical experience preferred.
• Basic computer knowledge and data entry skills.
• Knowledge of medical terminology.
• Strong knowledge of ICD-10, CPT, and HCPCS Level II.
• Thorough understanding of Medicare, Medicaid, HMO’s, PPO’s, private insurance companies, etc.
• Knowledge of basic bookkeeping and accounting principles.
• Ability to proficiently perform all essential job responsibilities after three-month orientation period.

Job Responsibilities

• Maintains accounts receivable for the office/clinic.
• Maintains financial records; contractual allowances, refunds, write-offs.
• Assign appropriate ICD-10, and other relevant codes to medical procedures and diagnoses.
• Verifies health insurance information. Determines patient charges according to insurance information. Completes insurance forms and submits them to proper agencies/insurance companies.
• Monitors billing and collections. Contacts patients/insurance companies to collect unpaid insurance claims. Follow up on unpaid or denied claims and resolves any billing discrepancies.
• Review and analyze medical records to ensure accurate coding and billing.
• Maintain confidentiality of patient information and adhere to HIPAA regulations.
• Codes patient insurance/demographic information for data entry.
• Stays informed about changes in Medicare and Medicaid.
• Maintains current patient accounts and addresses in the computer system to avoid loss of claims. Always verifies patient account number.
• Maintains a computer master list of insurance companies outlining correct name and address.
• Types and mails all correspondence in a timely manner.
• Answers the telephone in a polite manner. Communicates information to the appropriate personnel.
• Interacts with patients/families in a professional manner. Provides explanation regarding statements, insurance coverage.
• Explains financial responsibilities to new patients.
• Works with insurance companies and patients when billing problems occur.
• Treat patients/families with respect and dignity.
• Demonstrates the ability to be flexible, organized, and function well in stressful situations.
• Maintains a good working relationship with all office/clinic staff.
• Maintains a professional working relationship with insurance companies.
• Performs other duties as assigned.

Dodge County Hospital Is An Equal Opportunity Employer

In order to provide equal employment and advancement opportunities to all individuals, employment decisions at Dodge County Hospital will be based on merit, qualifications, and abilities. Dodge County Hospital does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability or any other classification in accordance with federal, state and local statutes, regulations and ordinances.

Additional Information

Position Type : Full Time

Shift : Day

Contact Information

Penny Brown - Director of Human Resources

Human Resources

Email: [e-mail]

Phone: [phone]