Billing Clerk
JOB PURPOSE: Position is responsible for researching and resolving outstanding claims issues to ensure maximization of claims reimbursement.
JOB QUALIFICATION REQUIREMENTS:
Education:
- High school education or equivalent, with specialized training in Medical billing
Experience:
- Two years experience of Medical Insurance Collections/Follow up
- Two years experience using a computerized accounts receivable system in a medical or hospital environment performing billing functions.
- Knowledge of current ICD-10 coding in a medical or hospital setting.
- Experience handling confidential data i.e., patient demographic information, payor fee schedules, reimbursement rates, etc.
PERFORMANCE REQUIREMENTS:
Knowledge:
- Knowledge of current CPT-4 and ICD-10 coding.
- Knowledge of common insurance plans, i.e., HMO, PPO, Medicare and Medi-Cal
Skills:
- Proficient skills in computer programs.
Abilities:
- Ability to understand and interpret policies and procedures.
- Ability to communicate effectively and work with others.
- Ability to apply principles of analytical thinking to extract correct data from documentation.
JOB FUNCTIONS:
- Monitor all payer types on unresolved claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner
- Identify coding or billing problems from EOBs and work to correct the errors in a timely manner
- Identify problem accounts and escalate as appropriate
- Identify trends and make suggestions on process improvements
- Update the patient account record to identify actions taken on the account
- Work on multiple Practice Management systems
- Work with patients and guarantors to secure payment on outstanding account balances
- Sort and file correspondence
- Initiate appeals for denied claims as appropriate
- Enter detailed notes to provide an audit trail for future follow up
- Work error reports in a timely manner (set by Director/Manager)
- Meet with assigned Providers as needed.
- Meet with insurance carriers as issues are identified
Experience:
- computerized accounts receivable system: 2 years (preferred)
- Medical Insurance Collections/Follow up: 2 years (preferred)
#PSF
Job Type: Full-time
Pay: $18.00 - $21.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid sick time
- Paid time off
- Retirement plan
- Vision insurance
Experience:
- Microsoft Excel: 1 year (Preferred)
- Medical billing: 1 year (Required)
Ability to Commute:
Work Location: In person
