Medical Insurance Billing Clerk
Medical Billing Clerks are responsible for billing patients and insurance companies, collecting co-pays, recording billing payments in the software system, and reconciling payments. This course covers patient advocacy, ethics, current medicolegal issues (such as HIPAA and the Affordable Care Act), analysis of various typs of documentation and the medical record, diagnostic (ICD-10-CM) and procedure (CPT/HCPCS) coding, basic commercial and government health plan benefit structures and communications, and tracking reimbursement and appeal process.
Fall 2025
Dates: TBD
Days: TBD
Time: TBD
Room: 502
Fee: TBD
A background check may be required for externships, clinicals and licensing, certification or registration with the appropriate governing board.
Job Duties
Medical Insurance Billing Clerks typically do the following:
- Make appointments and verify insurance coverage
- Obtain patient insurance and demographic information
- Complete a variety of paper and electronic forms & maintain accurate and legally compliant medical/financial records
- Code medical procedures, encounters, services and supplies
- Code diagnostic information related to medical services
- Process and submit insurance claims
- Post ledger transactions such as charges for medical services/supplies and payments received from insurance coverages and patients
- Prepare patient statements and collect patient balances
- Claim follow-up and appeal process for denials