Insurance Clerk

HOURS:

Monday-Thursday, 8:30-5pm and Friday, 8:30am-12pm

PREVIOUS EXPERIENCE IN MEDICAL BILLING REQUIRED

POSITION SUMMARY:

Responsible for the insurance billing process between the physician offices, hospital, and insurance companies, federal agencies, and third-party payers. Audits patient accounts to ensure procedure, charges, and coding accuracy. Collects payments from commercial insurance companies, state, and federal agencies. Participates in performance improvement and quality activities.

EDUCATION:

• Requires a high school diploma or a GED state certification.

• Courses taken in bookkeeping or accounting preferred.

• Requires 5 basic units of DCH education units per year.

• Requires DCH mandatory annual training.

• Ability to read, legibly write, and comprehend medical terminology, follow instructions, and perform simple mathematical calculations.

EXPERIENCE:

• Two years of experience in billing, insurance, office procedures in a medical setting preferred.

• E-Clinical experience preferred.

• Basic computer knowledge and data entry skills.

• Knowledge of medical terminology.

• Strong knowledge of ICD-10, CPT, and HCPCS Level II.

• Thorough understanding of Medicare, Medicaid, HMO's, PPO's, private insurance companies, etc.

• Knowledge of basic bookkeeping and accounting principles.

• Ability to proficiently perform all essential job responsibilities after three-month orientation period.

JOB RESPONSIBILITIES:

• Maintains accounts receivable for the office/clinic.

• Maintains financial records; contractual allowances, refunds, write-offs.

• Assign appropriate ICD-10, and other relevant codes to medical procedures and diagnoses.

• Verifies health insurance information. Determines patient charges according to insurance information. Completes insurance forms and submits them to proper agencies/insurance companies.

• Monitors billing and collections. Contacts patients/insurance companies to collect unpaid insurance claims. Follow up on unpaid or denied claims and resolves any billing discrepancies.

• Review and analyze medical records to ensure accurate coding and billing.

• Maintain confidentiality of patient information and adhere to HIPAA regulations.

• Codes patient insurance/demographic information for data entry.

• Stays informed about changes in Medicare and Medicaid.

• Maintains current patient accounts and addresses in the computer system to avoid loss of claims. Always verifies patient account number.

• Maintains a computer master list of insurance companies outlining correct name and address.

• Types and mails all correspondence in a timely manner.

• Answers the telephone in a polite manner. Communicates information to the appropriate personnel.

• Interacts with patients/families in a professional manner. Provides explanation regarding statements, insurance coverage.

• Explains financial responsibilities to new patients.

• Works with insurance companies and patients when billing problems occur.

• Treat patients/families with respect and dignity.

• Demonstrates the ability to be flexible, organized, and function well in stressful situations.

• Maintains a good working relationship with all office/clinic staff.

• Maintains a professional working relationship with insurance companies.

• Performs other duties as assigned.

Dodge County Hospital Is An Equal Opportunity

Employer:

In order to provide equal employment and advancement opportunities to all individuals, employment decisions at Dodge County Hospital will be based on merit, qualifications, and abilities. Dodge County Hospital does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability or any other classification in accordance with federal, state and local statutes, regulations and ordinances.
Additional Information
Position Type :
Full Time
Shift :
Day
Contact Information
Penny Brown - Director of Human Resources
Human Resources
Email: p
Phone: