Central Processing Clerk (Billing Clerk)

Community Action Agency of Columbiana County, Inc.

7880 Lincole Place, Lisbon, OH 44432

330-424-7221

Health, Behavioral Health and Dental Centers

JOB DESCRIPTION

POSITION: Central Processing Clerk (CPC)

SUPERVISOR: Central Processing Manager (CPM)

CAACC Mission Statement: To strengthen the community, foster well-being and promote self-sufficiency.

CAA Health, Behavioral Health and Dental Centers’ Mission Statement: To provide safe, high quality, comprehensive and affordable health, behavioral health and dental care to our community.

JOB SUMMARY: The Central Processing Clerk works under the direction of the CPM of the health and dental centers. The CPC will accurately bill patients and/or insurance companies, as well as maximize payment amounts in turn-around time.

SPECIFIC DUTIES:

ESSENTIAL FUNCTIONS

• Handle all insurance claims and billing policies
• Process charges daily
• Maintains working knowledge of CPT-4 and ICD 10 coding to legally maximize reimbursement
• Process claims daily
• Post all insurance payments on a daily basis
• Maintain monthly accounts receivable over 30, 60 and 90 days assuring that the overdue accounts are addressed according to the policies and procedures
• Remedy any previously approved insurance claim that has subsequently been denied
• Resubmit/Rebill any unpaid claims
• Mail all patient statements at least monthly
• Based on policies, make decisions to pre-list for bad debt write off
• Reconcile credit card batches daily (web based cc processing)
• Collect delinquent accounts by establishing payment arrangements with patients; monitoring collections; and compiling information
• Keep collection information confidential
• Handle all patient complaints regarding billing in a timely and consistent manner
• Maintain the compliance of the department with the local, state and federal law
• Collect delinquent accounts by establishing payment arrangements with patients; monitoring collections; and compiling information
• Maintain work operations by following policies and procedures/reporting compliance issues
• Maintain quality results by following standards
• Update job knowledge by participating in educational opportunities
• Enhance billing department by accepting ownership for accomplishing new and different requests; explore opportunities to add value to job accomplishments

COMPUTER SYSTEM RESPONSIBILITIES

• Enter all charges and credits daily
• Transmit all insurance claims as instructed
• Keep user IDs and passwords protected and secure

ESSENTIAL SKILLS AND ABILITIES

• Handle patient phone calls compassionately and efficiently
• Work well and get along with co-workers
• Take initiative to complete projects in a timely manner
• OTHER DUTIES
• Attends mandatory staff meetings
• Completes compliance trainings in a timely manner
• Serves on committees and assists other directors and/or managers as requested
• Any other duties assigned

REQUIRED JOB QUALIFICATIONS

• High school diploma or equivalent
• Two years medical billing experience in a medical office

ADDITIONAL REQUIREMENTS AND CONDITIONS OF EMPLOYMENT

• Adhere to and implement the agency’s mission and goals
• Successfully complete background check including Ohio Bureau of Criminal Investigation, Medicare exclusion list, verification of valid driver’s license, employment medical exam, including a TB test, and any other screening/testing required by CAA policies/procedure and/or requirements of all funding sources. CAA is a drug/alcohol-free and smoke-free workplace and post-offer drug and alcohol testing is required.
• Ability to work in several locations with diverse staff
• Must have an insurable driver’s license and be bondable
• Obtain continuing education course and training as required to update knowledge and skills to assure continued efficiency
• 90-day probationary period

PHYSICAL/EVIRONMENTAL REQUIREMENTS

• Ability to lift/carry up to 25 pounds
• Ability to push, pull, carry, lift, bend, twist, reach, sit, stand for lengthy periods of time; ability to walk for extended periods of time
• Ability to work in a fast-paced and often high-stress environment as well as the ability to adapt quickly to workload changes
• Ability to deal with inside and outside clientele in a diplomatic and courteous manner while assuring adherence to CAA policies/procedures
• Above-average oral, reading and writing skills to accurately operate relevant computer programs, perform necessary documentation and effectively communicate

WORKING CONDITIONS

Various noises associated with a busy clinical setting.

• Numerous interruptions.
• Constantly changing medical environment.
• Ability to comply with the changing requirements of the funding sources.
• Ability to consistently meet deadline requirements.
• Ability to remain calm and cheerful under stressful working conditions

CAA Job Description revised on 7/1/13, 6/17/15, 1/11/16, 3/28/19, 5/26/20, 4/28/22, 8/7/23

Job Type: Full-time

Pay: $12.00 - $15.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Are you able to pass a background check and a drug and alcohol test?

Education:

• High school or equivalent (Required)

Experience:

• Medical Billing: 2 years (Preferred)

Work Location: In person

Salary : $12 - $15