BILLING CLERK II (HEALTH DEPARTMENT)

Genesee County, MIFlint, MI
Onsite

About The Position

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.

Requirements

  • Associate degree/Certification in medical curriculum -AND- two (2) years recent billing experience
  • High School diploma or equivalent -AND- three (3) years recent experience in outpatient, Medicare and Medicaid, computerized and manual physician billing for third party payers.
  • Must submit a copy of college transcripts and/or certification with application

Responsibilities

  • 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
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