The Fiscal Clerk is responsible for monitoring accounts receivables, aging, collections and posting of payments. The Fiscal Clerk will have a thorough understanding of Explanation of Benefits (EOBs) and processing of payments from insurance carriers. The Fiscal Clerk works according to set procedures under direct supervision.

COMPETENCIES:

Trust

Communication

Leadership

Time Management

Responsible

KEY FUNCTIONS/KNOWLEDGE/SKILLS:

• Performs an evaluation of patient accounts for accuracy of information which includes, patient demographics, complete and accurate insurance information, appropriate authorizations obtained, appropriate ICD-9, CPT and HCPCS coding, and accurate charges.
• Assigns correct levels of service and coding of claims according to governmental regulations.
• Responsible for identifying and documenting insurance payer issues as they arise. Must communicate all issues to teammates and Supervisor. Responsible for maintaining a file containing all pertinent information for each issue to include correspondence, EOBs, claims, collections etc.
• Must be an effective team member with good communication skills. Must participate in team meetings, communicate work related ideas and concerns proactively, and assist in finding appropriate resolutions.
• Responsible for contacting insurance companies regarding outstanding claims.
• Responsible for providing any information (medical records, itemized statements, etc.) requested by insurance companies to process claims. Must maintain a system to ensure timely follow up is completed for each outstanding claim.
• Refer accounts, in accordance with established guidelines, for write-off, agency, or attorney referral.
• Cross train in the various Ambulance Billing areas to be completely familiar with all aspects of patient accounting functions.
• Must have basic medical terminology knowledge.
• Maintain status reports consisting of outstanding accounts assigned.
• Responsible for contacting insurance companies, patients, employers, etc. to resolve payment issues that require their assistance.
• Documents accounts in accordance with established department guidelines.
• Follows established billing/coding guidelines to flag accounts for follow-up as needed.
• Performs copying, transcribing, entering or posting data of information.
• Responsible for serving others such as customers; attends to their requests and exchanging information with them.
• Must handle or use machines or equipment that requires moderate instruction and experience such as computers, peripherals, software programs such as work processing, spreadsheets, or custom applications, or switchboards.
• Performs addition, subtraction, multiplication, and division; may calculate ratios, rates and percentages.
• Performs any other duties assigned.

Education and Experience

High school graduation or GED plus two years of experience.

Special Certifications and License

Valid Texas Driver’s License.

Independence and Judgement

Average judgment; must recognize and resolve problems such as bad grammar, type of procedure to apply, where to refer call or correspondence without specified destination, when to change or sharpen blade on mower, whether there is a problem/malfunction with a piece of equipment that needs attention, etc.; may involve freedom in selection of work methods among approved routines, setting of priorities, or sequencing of tasks within established schedules.

Initiative and Ingenuity

General guidelines: occasionally requires interpretation of available options to apply to non-standard situations; day-to-day work drives priorities. Greater level of knowledge when applying guidelines and interpretation of available options to non-standard situations; division goals drive priorities.

Supervisory and Responsibility

Does not supervise.

Financial Responsibility

Takes money (fines, fees, etc.), gives receipts, does own balancing; no decision making; authorizes payment of accounts payable based on matching invoices; handles petty cash; makes purchases over $200.

Level and Frequency of Outside Contacts

Frequent contact with the public or other organizations; interactions may require obtaining cooperation of people; courtesy and tact are required when dealing with moderately difficult or sensitive issues.

Physical Demands

Office job with little or occasional light physical effort. Involves exerting up to 20 pounds of force on a regular and recurring basis, or skill, adeptness and speed in the use of fingers, hands or limbs on repetitive operation electronic office machines or tools within moderate tolerances or limits of accuracy.

Responsibility for Equipment and Property

Responsible for use of equipment/property such as office equipment, supplies, etc., which are used in office.

Working Conditions

Office job, no adverse conditions.

Other Requirements

The City of Brownsville requires all employees to successfully pass a Drug & Alcohol and a physical examination and a Background Check.

ADA Requirements

The City of Brownsville is an Equal Opportunity Employer. ADA requires the City to provide reasonable accommodations to qualified individuals with disabilities. Prospective and current employees are invited to discuss accommodations.

Benefits

The City of Brownsville participates in a generous retirement plan with retirement opportunities available at 5 years of service at age 60 or 20 years of continuous service at any age. The City has an exceptional employee and family medical and dental insurance plan. Employees may also contribute to deferred compensation 457 plans from Equitable and supplemental insurance plans from AFLAC and Colonial Life. Full time employees have the opportunity to accumulate 10 sick days and 10 annual days per year. The City will provide each full-time employee with employer paid life insurance and two (2) paid floating holidays on an annual basis. Additionally, the City of Brownsville observes 12 holidays annually.