What are the responsibilities and job description for the Patient Collection Clerk position at Spring Branch Community Health Center?
Qualifications
- Fluent in Spanish, both oral and written.
- High school graduate or equivalent.
- Two years of experience in a medical office environment to include work with Medicaid, Managed care organizations, commercial and other third party payer claims submission and appeals.
- Federally Qualified Health Center (FQHC) experience preferred.
- Experience with medical and dental terminology, procedural and diagnostic coding (ICD, CPT, CDT, and HCPCS).
- Maintain compliance with HIPAA regulations.
- Good oral and written communication skills.
- Ability to deal professionally, courteously and efficiently with the public and all levels of the organization.
- Ability to handle multiple projects simultaneously.
- Ability to operate computer, copier, fax, and 10-key machine.
- Proficient in practice management system and Microsoft Office software applications.
- Basic accounting knowledge.
- Application of patient payments, and all adjustments required for accurate patient accounts receivable records for all outstanding patient balances.
- Review patient accounts and request adjustments and/or refunds, as appropriate.
- Responsible for monthly electronic submission of patient statement file to clearinghouse.
- Counsel patients with outstanding account balances and set up and monitor payment plans.
- Responsible for monitoring the patient accounts receivable aging report, bad debt and credit aging balance reports, and using them to identify accounts requiring attention.
- Monitor daily appointments schedule to facilitate providing patients with a statement of their past due account balance when they arrive for their appointment.
- Responsible for staying current with the rules and regulations and updates or changes in state and federal regulations.
- Service back up for insurance verification.
- Inform billing manager of accounts receivable issues, and the potential effect the issues may have on the organization.
- Work with HCM staff to stay informed of patient flow through the clinics and provide feedback to HCM supervisory staff of incomplete or incorrect information and/or changes in the requirements affecting billing and collections.
- Continually search for ways to improve the accounts receivable process, striving for efficiency in daily operations.
- It is the employee's responsibility to further their knowledge by reading all handouts, memos, journals, provided and actively participate in available in service and formal education workshops.
- Perform other duties as assigned by the Billing Manager.
- Comply with all company policies, procedures and regulatory requirements.
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