Medical Billing Clerk

Description

General Summary:   A nonexempt position responsible for coordinating, verifying, distributing, and managing all patient accounts receivable services.

Essential Job Responsibilities

1. Analyze and review processing of patient statements.
2. Analyze and review accounts ready to be sent to Transworld for billing and collections.
3. Analyze and review all accounts ready to send to Transworld for collections.
4. Demonstrate ability to keep accurate records of tasks performed on each account.
5. Follow policy and procedure for establishing patient payment plans in Waystar.
6. Investigate payment plans with failed payments and determine next steps for the patient account.
7. Post all payments received from patient in the mail/lockbox.
8. Answering patient telephone inquiries pertaining to assigned accounts on scheduled phone days/times.
9. Demonstrate ability to interpret patient accounts.
10. Keep patient AR percentages at or under company goals
11. Meet weekly goals set by Billing Supervisor and/or Billing Manager
12. Maintains required billing records, reports, files, etc. according to protocol.
13. Other duties as assigned.

Qualifications

Education:  High school diploma or equivalent.  Some college preferred.

Experience:  Minimum two years of recent accounts receivable experience or any equivalent combination of experience, training and/or education approved by the Medical Billing Manager and/or Human Resources.

Other Requirements:  None

Performance Requirements:

Knowledge:

1. Knowledge of billing practices and medical office policies and procedures.
2. Knowledge of medical coding (CPT and ICD-10), clinic operating policies and third-party operating procedures and practices.
3. Knowledge of payer policies or ability to research and obtain payer policies.
4. Knowledge of legal and regulatory government provisions.
5. Knowledge of HIPAA Privacy and Security rules.

Skills:

1. Skill in establishing and maintaining effective internal and external working relationships.
2. Skill in verbal and written communication with patients and insurances.
3. Skill in accuracy and detail with respect to demographics data and figures.

Abilities:

1. Ability to work in team based work setting which places patient satisfaction as the major focal point for measuring success.
2. Ability to demonstrate compassion and caring in dealing with others.
3. Ability to project a pleasant and professional image.
4. Ability to effectively articulate information and respond to questions.
5. Ability to relate to and work well with a diverse community population.
6. Ability to work under pressure.
7. Ability to Multi-task and meet deadlines.
8. Ability to work cooperatively with other department staff.
9. Ability to plan, prioritize, and complete delegated tasks in an appropriate time frame.
10. Ability to read, interpret and apply policies and procedures.
11. Ability to set priorities among multiple requests.
12. Ability to interact with patients, medical and administrative staff, and the public effectively.
13. Ability to work with computers.