Billing Clerk I, II, III
: Job Details :

JOB SUMMARY: Performs various clerical activities in the billing department, including data entry, information verification and bill generation. Runs reports for management and conducts research to aid in the investigation of billing discrepancies and errors. May be responsible for responding to customer inquiries regarding bills. Requires a high school diploma or equivalent. Reports to a Medical Records Coding Supervisor. Works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Job Specifications: Duties & Responsibilities: Specific to Department: Follows up on all types of issues associated with denials of claims. Resolves claim denial issues by calling insurance carriers, identifying denial reasons and then corrects the claims. Performs claims clean up functions in billing department to include working denials, guarantor's verifications and follow up on missing information needed for billing process as well as any other issues as directed by the Medical Records Coding Supervisor. Responsible for responding to customer inquiries regarding bills. Assist in resolution of default bills through patient phone calls. Collects over-the phone payments, posts payments to patient accounts. Records all in-coming mail payments and prepares bank deposits. Keeps tracking logs of all worked claims for cleanup action General Performance Standards: Utilizes clinic resources efficiently and effectively. Possess a sense of discipline to work in accordance with accepted office standards. Develops a performance level whereby minimal supervision is needed and seeks assistance when issues arise beyond current knowledge or experience. Attends clinic meetings and staff meetings and participates actively in problem- solving, staff meeting discussions and in-services. Communicates clearly and effectively with patients, visitors and team members and adheres to the customer service standards as outlined by the Clinic. Respects the confidentiality of patient information and clinic business and supports the clinic mission and patient rights and responsibilities. Performs job responsibilities in accordance with all clinic policies and procedures. Participates in education opportunities as appropriate which will increase one's ability to perform the job responsibilities effectively. Remains flexible to be cross trained in other job responsibilities as identified and can be depended upon to modify work schedule as required by the clinic and according to policy. Keeps current on and adheres to all policies and procedures as enumerated in the Policy & Procedure Manual. Position Requirements Requires High school graduate diploma or equivalent Requires 0-1 years of related experience, or general work experience additional specialized training and/or certification Possesses a moderate understanding of general aspects of the job. Prefer academic courses in office billing or health information management. Must be able to organize workload to determine priority of duties. Excellent communication skills and organizational ability. Knowledge & proficiency in Microsoft Word, Excel, word processing systems with ability to transfer knowledge to practice management computer systems Competency in the use of office equipment post training on this equipment. Job responsibilities require that English is the primary language and have proficiency in English, spelling, and arithmetic. Must possess a high degree of accuracy for the performance of job-related tasks and functions. Physical Requirements: The Physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to walk, sit, talk and hear and be able to operate a personal computer, printer, telephone, calculator, and photocopier and fax machine. Must have excellent hearing and verbal skills to interact with the public. In addition, must have abilities to communicate in writing and orally. Fluency in written and spoken English is required. Must have coordination of sight and body movements for various applications of procedures and dexterity of finger and wrist to operate basic word processing skills in the computer. Exposure to various chemicals agents typically used in an office clinic setting Walking, talking, hearing, reaching, bending, pulling, pushing, lifting & carrying (at least 20-50 lb. and push 5-20lbs) and travel in own vehicle for company business. Ability to function effectively as a Team Member OSHA: Category III: Job Classification includes those employees who perform jobs and tasks where NO CONTACT with blood borne pathogens occurs and Category I and Category II tasks ARE NOT a condition of employment. This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an at will relationship.