Edgewater Health · 2 days ago
Billing and Collection Clerk
Gary, IN
Full-time
Onsite
Entry Level
1+ years expEdgewater Health is seeking a Billing and Collection Clerk responsible for processing third-party billing and ensuring timely reimbursement for services. The role involves follow-up on unpaid claims and collaboration with clinical and administrative teams to support revenue cycle management.
Health CareMental HealthPharmaceuticalPrimary and Urgent CareRehabilitation
Responsibilities
Review billing data for accuracy and completeness prior to submission
Generate and review E.R.S. reports (5.4 - CMHC SYSTEM) for each funding source to identify and address unbilled events
Respond to inquiries from physicians, patients, hospitals, insurance companies, and government agencies to resolve issues related to submitted claims
Collaborate with supervisors or billing sources to resolve billing questions or discrepancies
Maintain detailed billing logs for Medicare (Part A and B) and inpatient Medicaid services, identifying covered and non-covered services, deductibles, and coinsurance
Operate basic office equipment including computers, copiers, calculators, and telephones
Utilize CPT (Current Procedural Terminology - latest edition) and ICD (International Classification of Diseases - most current revision) codes in claims processing
Demonstrate familiarity with medical billing terminology and insurance payer requirements
Perform basic mathematical calculations including addition, subtraction, multiplication, percentages, and decimals
Maintain a typing speed of at least 40 words per minute
Enter Service Activity Logs (SALs) into the billing system promptly
Prepare and submit invoices or claim vouchers for third-party payers when electronic billing is not available, including Medicare, Medicaid, commercial insurances, and public entities (state, county, city)
Assist with additional tasks and responsibilities as assigned by the supervisor
Conduct all duties in accordance with ethical and professional standards
Adhere to all organizational policies and procedures
Assist in identifying and resolving situations that may pose safety risks to clients, staff, or others
Pursue professional development through training, literature, and workshops
Collaborate with supervisor to implement an Individual Professional Development Plan
Support compliance with all relevant licensing, regulatory, and accreditation standards
Qualification
Required
High school diploma or equivalent required
One (1) year of medical billing or collections experience preferred; experience in behavioral healthcare setting is a plus
Demonstrate familiarity with medical billing terminology and insurance payer requirements
Maintain a typing speed of at least 40 words per minute
Perform basic mathematical calculations including addition, subtraction, multiplication, percentages, and decimals
Conduct all duties in accordance with ethical and professional standards
Adhere to all organizational policies and procedures
Assist in identifying and resolving situations that may pose safety risks to clients, staff, or others
Pursue professional development through training, literature, and workshops
Collaborate with supervisor to implement an Individual Professional Development Plan
Support compliance with all relevant licensing, regulatory, and accreditation standards
Preferred
Strong attention to detail and organizational skills
Excellent verbal and written communication skills
Ability to work independently and as part of a team
Valid driver's license with a good driving record
Access to a reliable, insured vehicle with valid license plates (if position requires travel)
Associate's degree or certification in medical billing, accounting, or related field preferred
One (1) year of medical billing or collections experience preferred; experience in behavioral healthcare setting is a plus
Company
Edgewater Health
Edgewater Health is an organization that provides primary care, mental health, addiction and pharmacy services.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Michael LaBroi
Chief Information Officer
Ralynn Crockett, MPA-MHRM
Chief Human Resources Officer
Recent News
Government Technology US
2025-07-15
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