What are the responsibilities and job description for the Medical Billing Clerk position at Amer Technology, Inc?
Dental Experience preferred
JOB SUMMARY
Under general supervision, responsible for performing any combination of routine calculating, posting and verifying duties to obtain primary insurance data for use in preparing statements to patients' insurance carriers. May prepare notices to patients of amount expected (or received) from insurance and amount expected from patient.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education
High school diploma or GED is required.
Experience
Three (3) years of related experience to include clinical setting is required. Medical/Dental coding experience is preferred.
Additional Licenses and Certifications
None.
Knowledge, Skills and Abilities
1.Detail oriented with the ability to organize, prioritize and coordinate work within schedule constraints and handle emergent requirements in a timely manner.
2.Ability to monitor important and complex projects concurrently.
3.Knowledge of Microsoft Word, Excel, PowerPoint, and Lotus Notes/other email software.
4.Ability to effectively communicate orally and in writing, to provide excellent customer service, to include writing and preparing memorandums, letters, and other official correspondence.
Job Duties
1.Reviews claims that have been adjudicated by Medicare, Medicaid, and Commercial carriers for appropriate billing.
2.Addresses denied claims, claims pended for medical necessity, and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals.
3.Extracts information regarding patient treatment from medical records and works closely with coding staff to compose individualized appeal letters.
4.Identifies payor specific patterns or trends regarding denials and reports to management for communication to Medical Departments and Administrators.
5.Makes the necessary recommendations regarding billing and edit creation to reduce denials.
6.Remains current in all payor specific guidelines.
7.Utilizes various collection processes such as appeals or collection notices by mail, electronic correspondence, and telephone communication with payor representatives.
8.Performs all other duties as assigned.
JOB REQUIREMENTS
Working Environment
Office Environment
Clinical Environment
Job Types: Full-time, Contract
Pay: $18.00 - $18.50 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Medical Billing clerk: 4 years (Required)
- Dental coding: 4 years (Required)
- medical billing and coding: 4 years (Required)
- Medical claims: 4 years (Required)
- Medical insurance: 4 years (Required)
- Medical records: 4 years (Required)
Work Location: In person
Salary : $18 - $19
