BILLING CLERK II

Union AFSCME 496.00 Full-Time/Part-Time Full-Time Open Date 1/30/2025 Closed Date 02/13/2025 Location Health Department Description

Starting Pay: $18.7264 Hourly ($38,951)

Step A: $19.8668 Hourly ($41,323)

Step B: $22.9918 Hourly ($47,823)

Step C: $23.5495 Hourly ($48,983)

Step D: $24.1313 Hourly ($50,193)

Step E: $24.7394 Hourly ($51,458)

Step F: $25.3707 Hourly ($52,771)

Step G: $26.0577 Hourly ($54,200)

Minimum Qualifications

Associate degree/certification in medical curriculum -AND- two (2) years' recent billing experience;

• OR-
  
  

High school diploma or equivalent -AND- RHIT or CCS-P or CPC certification -AND- three (3) years' recent experience in outpatient, Medicare and Medicaid, computerized and manual physician billing for third party payers;

• OR-
  
  

High school diploma or equivalent -AND- five (5) years' recent experience in outpatient, Medicare and Medicaid, computerized and manual physician billing for third party payers.

Additional Requirements

Must submit a copy of college transcripts and/or certification with application.

Physical Requirements

Must be able to perform Essential Job Duties and Functions with or without reasonable accommodations.

JOB SUMMARY: Performs professional tasks in Medicare, Medicaid and Private Insurance billing/coding process; responsibilities include charge entry, payment posting, accounts receivable and assisting with insurance appeals; must demonstrate ability to perform clerical tasks including properly formatted written communications with clients and venders; performs related work as required.

Essential Job Duties And Functions

• Analyze account detail (charges, payments and adjustments) and answer detailed questions from payers and third party payers regarding claims or account status.
• Assist Supervisor and Senior Billing Clerk to identify and provide solutions for denials to obtain proper reimbursement or services.
• Process claims for insurance billing reimbursements.
• Assist medical providers and employees with direction on the usage of a specific diagnosis code, CPT code and modifier or documentation requirements.
• Assist Supervisor and Senior Billing Clerk with department compliance with governmental and other third-party payer rules and regulations governing coding and billing.
• Assist in implementing Genesee County Health Department program requirements to ensure correct and appropriate coding and billing.
• Assist with the creation of manuals and procedure documents for other clerical staff to follow as it relates to billing procedures that have been approved by the Medical Health Officer.
• Assist Genesee County Health Department employees with the correct procedure process manual for insurance verification based on provider and/or service being offered.
• Maintain accounts payable and accounts receivable log.
• Performs other related duties as directed.
  
  

Essential Knowledge, Skills And Abilities

• Comprehensive knowledge of the billing process, coding and ICD10.
• Excellent PC skills.
• Working knowledge and experience with electronic billing and claims submissions.
• Experience with professional medical health billing in an office setting preferred.
• Ability to troubleshoot issues with payers.
• Knowledge of medical terminology and medical procedures as related to physician and clinical support billing codes.
• Ability to conform to departmental performance standards.
• Ability to establish and maintain effective working relationships with superiors, co-workers, subordinates, consumers and the public.
• Ability to multi-task.
• Ability to work independently, collaboratively and respectfully in a complex, multicultural work environment that values diversity, equity and inclusion.
• Ability to attend work regularly and to work under stressful conditions.
• Experience with EPIC preferred.
• Excellent written and verbal communication skills.
• Knowledge of HIPAA laws.
• Ability to maintain patient confidentiality and adhere to HIPAA guidelines and regulations.
  
  

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