Claims Processing Clerk
Patient Accounts Full Time Job Summary: Receives and inputs new claims, processes payments, conducts billing research, and responds to telephone inquiries. Evaluates claims and administers payment, denials, or returns claims according to policy provisions and organizational guidelines. Job Responsibilities:
- Responsible for assisting patients and insurances with any questions concerning the patient's accounts thoroughly until the conclusion. Conducts the appropriate notations in the system of all of services completed while assisting patients or insurances.
- Completes all follow up with patient's accounts in a timely and accurate manner for all Revenue Cycle functions. Follows through with any and all communication with insurance companies or patients
- Ensures all accounts are followed up on and are documented thoroughly in the EHR system
- Ensures productivity guidelines are met daily as set forth by management
- Follows up with patients and payers to achieve prompt and accurate payments
- Assists patients and payers as needed in all areas of Revenue Cycle
- Read and work all remits and denials in the appropriate and timely manner
- Works with all staff involved in the Revenue Cycle to assist with any job duties directed by Revenue Cycle Director
- All other responsibilities deemed by Revenue Cycle Director
Customer Service:
- Assists in promoting customer service and creating a positive patient experience.
- Adheres to performance standards of behavior.
Qualifications:Education: High School Diploma or equivalent required. Some college or business courses preferred. Experience: Experience in hospital or medical setting is preferred. Experience with computers is preferred. . Language/Communication Skills: English required. Multilingual capabilities enhance the ability to perform this job. Must have the ability to speak effectively and professionally to all staff, management, and all outside individuals at all levels from elementary to professional.