340B Billing Clerk

Position Summary

Rome Health is seeking a detail-oriented and motivated Billing Clerk to join our Revenue Cycle team. This full-time position is responsible for the accurate and timely review, validation, and submission of insurance claims, as well as denial management, account follow-up, and credit balance resolution. The ideal candidate will possess strong organizational skills, medical billing experience, and a commitment to maintaining current knowledge of payer requirements and regulatory compliance standards.

Key Responsibilities

• Review, validate, and submit insurance claims accurately and efficiently.
• Identify, correct, and resubmit rejected or denied claims in a timely manner.
• Review electronic billing system edits and claim errors daily to ensure prompt resolution.
• Conduct routine account follow-up and manage work queues, ticklers, and outstanding balances.
• Perform timely Accounts Receivable follow-up to facilitate reimbursement and reduce aging balances.
• Review and resolve credit balances according to established policies and procedures.
• Maintain current knowledge of payer guidelines, billing regulations, and compliance requirements.
• Collaborate with internal departments to obtain necessary documentation and resolve billing issues.
• Provide excellent customer service when responding to billing-related inquiries.

Qualifications

Education/Experience

• High School Diploma or GED required.
• Previous medical billing experience required.
• Experience working with insurance claims, denials, and payer follow-up preferred.

Skills

• Strong attention to detail and accuracy.
• Excellent organizational and time-management skills.
• Proficient typing and computer skills.
• Effective communication and customer service abilities.
• Ability to work independently and manage multiple priorities in a fast-paced environment.

Why Join Rome Health?

At Rome Health, you'll be part of a dedicated team committed to providing exceptional care and service to our community. We offer a supportive work environment, opportunities for professional growth, and the chance to make a meaningful impact every day.