Billing Clerk

MIDLAND COMMUNITY HEALTHCARE SERVICES, INC.

Midland, Texas

JOB DESCRIPTION

JOB TITLE:                                       BILLING CLERK

DEPARTMENT:                                 ADMINISTRATION

REPORTS TO:                                   BILLING MANAGER

OES CODE:                                       43-3011

FLSA EXEMPTIONS STATUS:          NON-EXEMPT

JOB SUMMARY

Billing Clerks play an important supporting role to the staff and patients of Midland Community Healthcare Services.  They are expected to provide excellent customer service while performing tasks such as reviewing, processing, and maintaining accurate financial accounts of MCHS patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. They also process, maintain, compile, and report for health requirements and standards.

JOB DUTIES

• Follow-up claims processing to ensure timely payment
• Enter, review, and process patient service fee tickets for completeness, accuracy, and compliance with regulations.
• Accept, enter, and process all patient, program, and commercial insurance payments, and post them into the proper billing or practice management system.
• Ensure that all patient information is accurately entered in the proper billing or practice management systems.
• Review, flag, adjust, and notify past due accounts for restricted services or collection attempts.
• Generate and follow-up on collection reports for collection attempts.
• Process collection correspondence.
• Follow-up on aging reports.
• Provide customer service via telephone, correspondence, email, and or face-to-face encounters.
• Assist patients with account information, payment history, and payment arrangements/agreements.
• Review financial payment arrangements/ agreements in order to collect patient past due balances.
•  Submit and appeal claims for all payers following proper protocol and provide additional information as needed.
• Verify patient entitlement as needed.
• Work claims and financial reports for adjustments, credits, and payments.
• Enter pharmaceutical reports.
• Identify and maintain secondary insurances for further claims processing and assignment.
• Participate in cross-training opportunities in order to help other areas of the finance department.
• Retain and maintain accounts until the appropriate dates.
• Update patient accounts as required.
• Send patient correspondence as required through proper procedure.
• Maintain billing office supplies through the proper procedure.
• Collect information needed to process and maintain medical and dental credentialing
• Performs other duties as assigned by the Billing Manager.

SUPERVISORY RESPONSIBILITIES

• No Supervisory Responsibilities are included in this position.

CRITICAL SKILLS AND ABILITIES

• Customer Service Oriented.
• Oral Comprehension, Expression, Recognition, and Clarity.
• Written Comprehension and Expression.
• Computer & Technology Skills - The ability to navigate and utilize Microsoft Office, and the ability to learn to navigate and utilize proprietary medical software packages.
• Time Management – The ability to prioritize tasks in order to best serve the patient and the flow of the clinic.
• Cultural Competency – the ability to deal with people of various cultures and social status, as well as outside entities

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QUALIFICATION REQUIREMENTS

• Must have a High School Diploma or G.E.D.
• 1-3 years of customer service experience preferred.
• 1-3 years of medical billing office experience preferred.
• Certified Professional Coder Certification strongly preferred.
• No felony results on a criminal background screening.
• Drug Screen Test with a negative result.

WORK ENVIRONMENT/CONDITIONS

BBP Class III:  This position does not include any exposure-prone duties. These employees will still receive basic personal protective equipment training, basic bloodborne pathogen standard training, and safety precautions. Employees in this class are still to be offered vaccinations provided by Midland Community Healthcare Services if wanted.

Physical Demand:  Ability to interact with patients and operate office equipment for patient services.  Employees will need the ability to lift a minimum of 25 lbs, or more, independently as necessary.  Vision abilities are required to read and verify patient information, to read information on medical records, and the read information on computer systems.  Ability to pull, push, lift, and manipulate equipment and files. The ability to move freely about the front office and medical record areas in order to perform the job duties is required.  In compliance with EEOC 29 CFR part 1630, reasonable accommodations will be made for those employees with disabilities in order to assist them in performing the job duties and demands, provided it does not constitute undue hardship upon MCHS.

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Employee                                                                                      Date