Patient Accounts Clerk

Gaston County Government; Gastonia (NC); On-site; USD 28,000 - 33,000; Full time

Job summary

Gaston County Public Health Department is hiring for a billing and accounts receivable role. The position focuses on billing patient claims across Medicaid, Medicare, and third-party payers, using our EHR and multiple systems.

The role includes follow-up on unpaid claims, account reconciliations, and responding to payer inquiries. The department emphasizes health equity and quality improvement, and background checks with drug screening are required.

Qualifications

• Billing and posting activities for all payers (837/835 as applicable)
• Follow-up on outstanding self-pay and third-party claims
• Reconcile accounts after payments/denials and prepare for audits
• Maintain updated payer information and billing guidelines

Responsibilities

• Bill and collect patient claims for services provided
• Review demographics and financial updates before filing
• Resolve billing or collection inquiries from patients/insurers
• Post payments, denials, and adjustments as needed
• Assist in audit preparation and file maintenance
• Participate in quality improvement and health equity initiatives

Skills

Billing and collection

Data entry

Education

High School Diploma

Job description

The Gaston County Public Health Department is committed to protecting, promoting and preserving the health and well-being of all Gaston County residents.

The anticipated hiring range for this position is $20.43 - 24.26

The duties listed below are not all of the duties that may be assigned but are those that are considered as essential for an employee to perform.

• Responsible for billing and collection of all patient claims for services provided, through our EHR and various electronic systems and/or manual processes for Medicaid, Medicare, Third Party payer sources and self-pay accounts. Review systems for patient demographics, financial updates, and e-bill entry prior to file submission to ensure accuracy for billing.
• Duties to include billing and posting activities: all payers, electronic and manual, primarily, but not limited to 837 billing and 835 posting files; patient statement activities; debt setoff files for reporting to the state and posting payments;updating clinical fee schedules as it relates to patient account activites; back up for billing and posting related duties as needed.
• Maintains follow-up on outstanding and/or un-paid claims billed to self-pays and Third Party payers, ie: Medicaid, insurance, Medicare; determines problem and solution through review and research and resubmits the charges for payment.
• Reconciles patient accounts after payments, denials, and/or claim determinations have been made; manual and/or electronic patient account adjustments completed; maintains files for or assists in preparation for audit of accounts. Resolves inquiries or questions from patients and insurance carriers about billing or collection issues, coding updates, non-covered charges or other related matters.
• Responsible for maintaining updated information and resources for payer source billing requirements and guidelines, to ensure services are properly billed and collection received for revenues due.
• Special projects; other duties as assigned; assist in preparedness and emergency response activities in situations that threaten the public's health (i.e. disease outbreaks, natural disasters, etc.).
• Carryout Quality Improvement (QI) roles and responsibilities, including identifying and communicating performance improvement opportunities and adjusting performance and practice to achieve established QI goals.
• Implement strategies aimed at achieving Health Equity, including but not limited to: attending trainings to better understand inequities, identifying and addressing barriers to health, serving on the Health Equity Team or its subcommittees, engaging in internal or external efforts to eliminate health disparities.

• High School Diploma
• Medical billing experience and/or data entry for physician medical practice using updated Electronic Health Record and Practice Management systems.
• Valid driver's license

The applicant selected must undergo a criminal background check and pass a drug screening test prior to employment.