Clinic Insurance Billing Clerk

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Description

POSITION TITLE: Clinic Insurance Billing Clerk

Department: Clinic

Reports to: Sr. Director of Revenue Cycle

Mission of Department: We are dedicated to caring for all that seek our service in a competent, compassionate and professional manner. We are committed to continually striving to improve the quality of the services we provide to our patients, community and fellow associates.

Purpose of Position: Responsible for performing any and all business functions that lend themselves to the creation, submission and reimbursement of insurance claims.

• File, submit and correct insurance claims.
• Post any and all charges, payments, denials and adjustments in our EMR.
• Correct and resubmit any denied claim that can be corrected.
• Answer and resolve any insurance correspondence regarding a claim, immediately after that correspondence is received.
• Work activity reports to follow-up on all claims that have been billed but not paid.
• Answer patients’ billing questions regarding claims, claim payments, or account balances.
• Perform any and all functions not included in this list that are instrumental in creation, submission and reimbursement of insurance claims.

Requirements and Additional Responsibilities

• Notifies the Clinic Billing Manager of any problem claims, unusual claim payments or adjustments.
• Associate will fill-in as a Clinic Receptionist as needed – while acting as a Clinic Receptionist, the associate will perform all essential functions of that position.
• Attends in-services and department meetings as required by SCH and management.
• Maintains patient confidentiality.
• Follows all Clinic policies and procedures.
• All individuals in this department are expected to treat patients under the direction of the physicians and in compliance with the wishes of the patient/customer and family members as long as it does not conflict with the physician’s orders and is in the best interest of the patient/customer- at no time should the personal interests and beliefs of a staff member interfere with the treatment and care a patient/customer receives.
• Assumes other duties as requested by Management.

Education, Qualifications, Experience
High School diploma or GED

Rural Health Clinic Billing Experience Preferred

Personal Characteristics: Friendly, compassionate, high-energy, time-oriented, well-organized, able to do multifaceted tasks, neat in appearance, excellent communication skills, independent and has a vision to see what needs to be done.

Knowledge, Skills, and Abilities: ICD-10 coding, CPT-4 coding, able to use medical software & charge master, referral base for each medical staff personnel, scheduling practices for all medical staff, balancing of cash drawer, data entry.

Equipment: Computer, telephone (switchboard), paper shredder, postage machine, typewriter, calculator, printers, copiers, fax machine.

Expectation of Service: This is a non-exempt 40 hour per week position. Regular and punctual attendance is required.*

• Overtime may occasionally be required in order to complete assignments that are given by the Clinic Billing Manager.

Physical Requirements: This position requires continual sitting and typing at a computer terminal, answering phone calls, some walking, twisting, bending, stooping, and lifting of up to 25 pounds.

• Entry level

• Full-time

• Accounting/Auditing and Finance
• Medical Practices

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