Top 3 Insurance Claims and Policy Processing Clerks Jobs in Topeka, KS

ACCOUNT CLERK III
Shawnee County, KS —Shawnee County, KS
- $18.73 an hour
- Writing skills
- Basic math
- Pass drug screening
Rehab Tech - Physical Therapy SVHC - PRN
Stormont-Vail HealthCare, Inc. —Topeka, KS
- Part-time
- Vital signs
- Word processing
- Ability to lift 50 pounds
Quick Apply
Certified Occupational Therapy Assistant - Occupational Therapy SVHC - FT - Day
Stormont-Vail HealthCare, Inc. —Topeka, KS
- Full-time
- Word processing
- Basic math
- Mid-level
Quick Apply

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ACCOUNT CLERK III

Shawnee County, KS
Shawnee County, KS

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Job Details

$18.73 an hour

Qualifications

Company vehicle operation
Driver's License
Typing

Full Job Description

SHAWNEE COUNTY, KANSAS
Position Description

Account Clerk III (Health)

Position Control Number: HA1143A FLSA Status: N

POSITION DESCRIPTION

Under general supervision, this position maintains departmental accounting records in the Billing
Office within the Shawnee County Health Department. This position is responsible for the billing
of claims, the receipt of remittance advice and payments on accounts. Performs other duties as
required. This position is supervised by the Medical Accounts Receivable Manager.

WORK PERFORMED

40% Medical Claims Processing. Responsible for the submission of timely and accurate

electronic and paper claims to government programs, and primary, secondary, and
tertiary insurance companies. Creates billing files and reviews each claim within the
billing report for correct insurance, Current Procedural Terminology (CPT) codes,
International Classification of Diseases (ICD)-10 codes and units of services as required
by third party payor. Creates and submits the claim file to the claims clearinghouse for
the preparing and sending of claim files to government programs and insurance
companies. Saves and analyzes electronic data interchange (EDI) claim submission
reports, file received reports and electronically formatted claim files. Regularly analyzes
consumer account information and scanned documentation for accuracy.

20% Accounts Receivable and Claims Management. Responsible for appropriate follow up

on all accounts pending payment, up to resolution, which includes working monthly
accounts receivable reports, performing corrections and resubmitting claims to payor,
coordinating refunds, resubmissions, and adjusting claims. This position must file claim
denial appeals when necessary.

Responsible for identifying periodic claim denials and researching resolutions.
Determines whether denials are an internal/system coding issue or if it is a payor system
issue. This requires analyzing previous claims, Remittance Advices (RAs) and other
claim reports. Identifies possible patient management system issues, accesses payer claim
portals, and contacts customer service. Follow up on denial resolution is required.

Responsible for learning and use of payor websites for referencing claims, staying current
on coverage and reimbursement guidelines, and to obtain needed forms to process claim
reconsiderations and payment recovery. Learns and uses other websites and systems as
necessary. Performs regular billing audits and manages accounts receivable reports.

20% Posting Payments. Processes payments and refunds from government programs,

insurance companies/payor and consumers. Review Remittance Advices (RAs) for
incorrect reimbursement of services. Must be able to read and understand all payor RAs,
regardless of format. Must learn and understand the use of claim adjustment codes,

Shawnee County Position Description
Account Clerk III (HA1143A)

Remittance Advice Reason Codes (RARC), and Claim Adjustment Reason Codes
(CARC).

15% Consumer Statements and Collections. Regularly reviews consumer accounts for

accuracy of services being billed and insurance eligibility. Reviews accounts for non-
payment and determines if they should be sent to the collection agency. Responsible for
statement preparation and mailing.

5% Clerical Duties and Customer Service. Provides the highest level of customer service

to a wide variety of internal and external consumers. Answers consumer’s billing
questions and works with consumers on payment arrangements. Works with government
programs, insurance companies, payors and other vendors to resolve claim and billing
issues. Must effectively and efficiently present information and respond to questions from
managers, staff, consumers, general public, and payors. Performs other duties as
assigned.

KNOWLEDGE, ABILITIES AND SKILLS

Knowledge of:
• General office machines and modern office practices.

The English language, spelling, grammar and arithmetic computations.
The operation and minor maintenance of various office equipment.
Basic accounting principles and techniques.
Generally Accepted Accounting Principles.
Medicare, Medicaid, and third party billing policies and procedures.

Ability to:
• Interpret and apply Federal, State and County laws, resolutions, rules and regulations.

Communicate effectively, both orally and in writing, using the English language.
Follow oral and written instructions.
Detect and reconcile discrepancies in financial records.
Operate a variety of office equipment.
Learn and understand the application of CPT, ICD-10 and Healthcare Common Procedure

Coding System (HCPCS) standardized coding and American National Standards Institute
(ANSI) RARC/CARC codes.

Skill in:
• The use of basic arithmetic including addition, subtraction, multiplication and division.

The use of computer software and applications.
The use of cash handling techniques.

Shawnee County Position Description
Account Clerk III (HA1143A)

EQUIPMENT USED
Personal Computer Photocopier Calculator
Printer Fax Machine Scanner
Telephone Office Furniture

MINIMUM QUALIFICATIONS

High School Diploma or GED Certificate.
Two (2) years of experience in the balancing of accounts or two (2) years of experience in

the Account Clerk II classification.

Six (6) semester hours of college course work from an accredited college or university or

one hundred eighty (180) clock hours from an accredited vocational school in financial
accounting, banking or closely related field. One (1) year of experience in the balancing
of accounts may be substituted for the required education.

Required to type twenty-five (25) words per minute.
Required to achieve 7,000 keystrokes per hour.
No felony convictions.
Valid Driver’s License and able to operate County-owned vehicle (HR2013-2).

o HR-2013-2: Driving record that shows: No misdemeanor or felony convictions
for traffic/vehicular offenses (DUI, vehicular homicide, reckless driving, hit and
run, etc.) on the driving record that are less than five (5) years old; No more than
two (2) at fault or chargeable accidents on their driving record that are less than

Shawnee County Position Description
Account Clerk III (HA1143A)

five (5) years old; No more than two (2) traffic infractions (speeding, failure to
yield right of way, etc.) that are less than one (1) year old.

PREFERRED QUALIFICATIONS

Associates Degree in Accounting, Business, Banking, or related field.
At least two (2) years of experience in accounting or insurance billing.
Previous experience with City, County, State, or Federal Government Accounting

SPECIAL REQUIREMENTS

Required to pass a background investigation, pre-employment physical and drug screen.

Required to complete National Incident Management System (NIMS) 700 and Incident
Command System (ICS) 100Hcb and 200Hca within six (6) months of employment.

This Position Description is not designed to list all tasks and responsibilities of this position.
Shawnee County reserves the right to revise or change job duties as the need may arise. This
Position Description does not constitute a written or implied contract of employment.

Apply Now

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Insurance Claims and Policy Processing Clerks jobs in Topeka, KS

ACCOUNT CLERK III

Rehab Tech - Physical Therapy SVHC - PRN

Certified Occupational Therapy Assistant - Occupational Therapy SVHC - FT - Day

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