Medical Billing Clerk
いりょうひせいきゅうじむいん
Industry & Occupation
Classification
Summary
A specialized clerical role in medical institutions responsible for creating, checking, and submitting recepts (reimbursement detail statements) based on the reimbursement fee schedule, as well as handling claims to insurance providers.
Description
Medical billing clerks handle the entire process from confirming patients' insurance eligibility, entering treatment details, creating and checking recepts, to submitting claims to insurance providers and managing returns. Utilizing knowledge of the reimbursement fee schedule and medical insurance system, they must ensure accuracy while operating electronic medical records and recept computers. They also handle correspondence with insurance providers for returns or correction requests, data aggregation, and cost analysis, playing a vital role in supporting the financial operations of medical institutions.
Future Outlook
With the progression of an aging society, demand for medical billing tasks will remain stable. Digitalization, such as online recept claims and AI adoption, is advancing, increasing the importance of IT skills.
Personality Traits
Excellent communication skills / Has drive for improvement / Meticulous / Strong sense of responsibility
Work Style
Flexitime / Full-time Permanent Employee / Part-time/Casual / Partial Remote Work Allowed
Career Path
Medical Clerk → Medical Billing Clerical Supervisor → Medical Clerical Manager → Medical Clerical Instructor
Required Skills
Basic PC Skills / Insurance Claim Clerical Work / Knowledge of Medical Insurance System / Recept Computer Operation / Reimbursement Fee Points
Recommended Skills
Bookkeeping Grade 3 / Communication Skills Training / Electronic Medical Records Operation / Medical Secretary
Aptitudes (Strengths Preferred)
| Item | Description |
|---|---|
| Attention to Detail & Accuracy | Because errors in recepts can lead to reimbursement returns or financial losses. |
| Communication Skills | Due to frequent interactions with patients, doctors, and insurance providers. |
| Learning Agility & Knowledge Acquisition | Because the reimbursement fee schedule is periodically revised, requiring continuous learning. |
Aptitudes (Weaknesses Acceptable)
| Item | Description |
|---|---|
| Creativity & Ideation | Because the work is routine and does not require much creative thinking. |
| Physical Stamina & Endurance | Mainly desk work with low physical demands. |
Related Qualifications
- Certified Reimbursement Billing Clerical Ability Test
- Medical Clerical Administrator Examination
- Medical Clerical Skills Examination
Aliases
- Medical Clerk
- Reimbursement Billing Clerk
Related Jobs
- Medical Clerk
- Nursing Care Clerk
- Pharmacy Clerk