Description
Job Title: Business Office Account Clerk
Department: Financial Services
Location: SLH Regional Admin Campus 6196 U.S. 11,Canton, NY 13617
Hours Per Week: 37.5
Schedule: Mon-Fri 8am - 4pm
SUMMARY:
Maintains and controls all uninsured and underinsured patients who access services in the clinics or hospital. The account clerk will be under the general supervisor of the Patient Financial Services Leadership team. They will ensure accurate information is obtained and filed within the EMR; including discount any payment arrangements. Receive payments from patients or insurance companies. Works well individually and in a team environment.
RESPONSIBILITIES:
- Billing & Payment Processing: Manage patient and insurance payments, perform cash posting and reconciliation, and ensure accurate documentation and recordkeeping in the EMR system.
- Account Management & Insurance Updates: Review self-pay accounts, update insurance and guarantor information, maintain uninsured/underinsured accounts, and assist with pricing and charge inquiries.
- Patient & Department Collaboration: Provide billing support to patients, coordinate with internal departments (Finance, HIM, Patient Financial Services), and contribute to financial planning and decision-making.
- Compliance & Communication: Adhere to HIPAA regulations, document all interactions accurately, demonstrate empathy in patient communication, and support team performance and A/R reduction efforts.
PREFERRED QUALIFICATIONS:
- High school graduate or equivalent
- Minimum of 1 year clerical experience
- High level of interpersonal skills relating to all types of patients and visitors as well as hospital staff
PHYSICAL REQUIREMENTS: Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.
PAY RANGE: $19.46 - $28.55
The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, clinical licensure date, relevant qualifications, specialty, internal equity, location, and contracts.

