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