Senior Billing Clerk
: Job Details :


Senior Billing Clerk

The University of Vermont Health Network

Location: Malone,NY, USA

Date: 2024-11-06T02:37:07Z

Job Description:

The Senior Billing Clerk resolves patient accounts by performing claims processing, denial management and follow-up activities to effectively collect balances due- maximizing reimbursement while maintaining favorable public relations. Part of a payor team, this position is assigned a specific portion of the accounts receivable and is held accountable for the activity within the assigned A/R. Specific responsibilities include:

  • Submitting of facility related medical claims to insurance and third party payers
  • Communicating effectively with coworkers, Health Information Services, Information Technology and charging departments to resolve charging and coding related queries
  • Reviewing, preparing and submitting electronic and paper claims for accuracy and completeness, obtaining and updating missing information to clear all edits before release
  • Monitoring and following up on unpaid claims until resolved; may include calls, writing appeals, providing records etc.
  • Researching and escalating denied, disputed, improper claim remit trends to management where appropriate
  • Analyzing financial transactions to answer patient queries
  • Completing assigned payer audits in timely manner
Job Requirements
  • High School graduate or equivalent required.
  • Computer skills required.
  • A minimum of two (2) years of healthcare insurance billing training and experience in a health-related facility preferred.
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