What are the responsibilities and job description for the Billing Clerk position at Tri-County Heart Institute?
Primary Job Responsibility
The primary job responsibility of this position is to secure proper prior authorization for services as dictated by patient insurance.
Key Responsibilities
The essential functions of this position include but are not limited to the following. Other duties may be assigned as required:
- Survey upcoming schedules, identifying any testing, office visits or procedures that require prior authorization from insurance companies. Verify insurance coverage as needed.
- Submit for authorizations to insurance companies as required, providing proper documentation to ensure approval.
- For any patients with HMO’s that require authorization from their Primary Care provider, submit for authorization from PCP with proper documentation. Maintain a log of the submittals, and monitor for timeliness to ensure payment.
- Notify Billing Manager for any authorizations that are not being approved in a timely manner.
- Reschedule any testing that has not been properly authorized, as directed by the Billing Manager.
Qualifications
- Proficient in accounting principles and financial concepts
- Experience with accounts receivable and accounts payable processes
- Familiarity with accounting software such as , , or PeopleSoft
- Knowledge of and compliance
- Strong data entry and customer service skills
- Experience in medical collections and corporate accounting is a plus
- Excellent negotiation abilities and
Job Type: Full-time
Pay: $16.00 - $20.00 per hour
Expected hours: 40.00 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Opportunities for advancement
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Supplemental Pay:
- Overtime pay
Experience:
- Cardiology: 1 year (Required)
Ability to Commute:
- Lady Lake, FL 32159 (Required)
Ability to Relocate:
- Lady Lake, FL 32159: Relocate before starting work (Required)
Work Location: In person
Salary : $16 - $20