Insurance Office Clerk Job Monongahela Pennsylvania USA,Healthcare

Position: INSURANCE OFFICE CLERK
Location: Monongahela

Job Details

Job Location:

Mon Valley Hospital - Monongahela, PA 15063

Position Type:
Full Time

Education Level: High School

Travel Percentage:
None

Job Shift: Day

Prepares and verifies statements and bills insurance carriers and/or patients involved in outpatient/inpatient services. Notifies and maintains self-pay accounts for all hospital services rendered.

Responsibilities

Provides timely, thoughtful and accurate computations of hospital charges that are covered under a Blue Cross insurance contract, Medicare provisions and miscellaneous insurances or self-pay for services provided to patients on an outpatient/inpatient basis, including the preparation of bills to be mailed directly to the patient, the completion of insurance forms, and other types of correspondence required in connection with the operation of this section, as well as the maintenance of files in accordance with established practice.

Whereas necessary, calls the patient or writes for explanation concerning complaints, relevant data or additional information. Initiates investigations on accounts where payment has not been received by the hospital. On accounts where coverage has been denied, or due to lack of sufficient insurance information or because the patient has no insurance coverage, the incumbent submits the initial bill and follow up bills to the patient.

Following established procedure, prepares itemized statements for patients requesting same when account has received full payment.

Processes any payments that have been received for an account, insuring that accurate information concerning the receipt of this money (check or cash) is credited to the proper account and recorded properly in other official hospital records. For example:
Processes checks and cash payments received on self pay accounts, processes bad debt payments when received from collection office, files outpatient self pay accounts.

Performs a variety of clerical duties in connection with the preparation of reports pertaining to the departmental functions, itemized statements for insurance carriers, transferring insurance payments or charges and investigations for payments and contacts doctors for forms that their office has not processed.

Files inpatient and outpatient dax cards.

Bill outpatient DPA accounts.

Processes DPA checks.

Answers all telephone calls and personal questions regarding patient bills, including the answering of questions that are posed from patients who visit the hospital concerning outpatient/inpatient charges on services rendered, as it pertains to them. Refers all problems to Credit Manager or Supervisors.

Performs a wide variety of clerical duties related to various types of billings in other sections of the office, as required or requested.

Logs transactions as directed.

Qualifications

Equivalent to high school plus up to one year of additional education.

Over three months up to and including one year experience.

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