General Description: The Billing Clerk is responsible for managing billing and collections processes for hospital and clinics, including insurance filing, patient charges, and payment follow-up. This role involves submitting claims to insurance companies as well as monitoring payment status. The Billing Clerk also provides support with additional tasks as assigned. Routine working hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. The Billing Clerk must be able to extend the workday as needed during periods of high census or increased departmental workload.
Key Responsibilities:
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Prepare and submit insurance claims to primary and secondary insurance carriers accurately and timely.
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Review patient accounts and ensure all charges are properly billed.
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Monitor payment status, following up on unpaid or denied claims.
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Resolve billing discrepancies by communicating with patients, third party payers and internal departments.
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Maintain accurate records of all billing, payment and collection activities.
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Ensure compliance with all relevant regulations including HIPAA and insurance guidelines.
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Assist in resolving patient billing inquiries promptly and professionally.
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Perform other related duties as assigned.
Qualifications:
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Education- High School Diploma or equivalent required.
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Experience- Basic knowledge of insurance policies, CPT/ICD-10 codes and reimbursement process.
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Skills- Ability to type 50-60 words per minute accurately. Strong finger dexterity and hand-eye coordination to operate computer and adding machine efficiently. Solid numerical aptitude to perform job duties accurately.
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Work Style- Enjoys a variety of tasks and demonstrates a high level of accuracy and attention to detail.
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Collaboration- Works effectively with Business Office, medical records personnel, hospital employees and the general public.
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Professionalism- Maintains a courteous and professional demeanor when interacting with patients and the general public.
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Organization- Excellent organizational skills with the ability to prioritize and adapt to a changing work environment.
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Requirements- Must successfully pass the hospital drug screening upon hire and meet the physical demands of the position.
