Billing Clerk

WESTERN WAYNE FAMILY HEALTH CENTERS•Dearborn, MI

1d•Onsite

About The Position

The Billing Clerk collects, posts, and manages account payments, submits insurance claims, follows up with insurance companies, and performs related billing duties. The role prepares and submits clean claims electronically or on paper, answers billing questions, resolves patient billing complaints, prepares and sends patient statements, assesses patients’ financial status and establishes payment plans, and reviews delinquent accounts. The clerk keeps current with coding, procedures, and legislative changes related to billing; corrects rejected claims and resubmits them; takes collection actions; processes insurance payments; and maintains accounts-receivable aging analysis. The position uses Dentrix and follows the employee manual and HIPAA confidentiality requirements. The role also contributes to clinic-wide customer relations, teamwork, continuous improvement, communication, and self-management. This includes treating patients, guests, physicians, and colleagues respectfully; responding to requests; working cooperatively across departments; participating in meetings and continuing education; communicating clearly and tactfully; maintaining confidentiality; and completing assignments with limited direction. Weekend work and different shifts may be required when necessary.

Requirements

Completion of a Billing and Coding program.
One year of experience in a medical business office, primarily focused on insurance billing and coding practices.
One year of medical coding experience.
Proficiency using an EMR system and Microsoft Office.
Knowledge of basic billing, coding, and account management techniques.
Ability to maintain confidentiality and appropriate organizational relationships.
Knowledge of organization policies and procedures.
Knowledge of computers, systems, and medical billing applications.
Ability to exercise initiative, sound judgment, problem-solving, and decision-making.
Ability to develop and maintain effective relationships with internal and external customers.
Ability to work in a complex environment.

Nice To Haves

Knowledge of FQHC billing or multi-specialties.
Knowledge of Epic.

Responsibilities

Prepare and submit clean insurance claims electronically or on paper as needed.
Answer billing questions from patients, clerical staff, and insurance companies.
Identify and resolve patient billing complaints.
Prepare, review, and send patient statements.
Evaluate patients’ financial status and establish budget payment plans.
Review and report the status of delinquent accounts.
Maintain current knowledge of coding, procedures, and legislative changes related to billing.
Correct rejected billings and resubmit them.
Perform collection actions, including contacting patients by phone and correcting and resubmitting claims to third-party payers.
Process payments from insurance companies.
Maintain accounts-receivable aging analysis.
Identify and perform tasks within Dentrix.
Maintain confidentiality and adhere to HIPAA guidelines and regulations.
Provide courteous customer service and respond promptly to customer requests and clinic communications.
Work cooperatively with the department and other areas of the clinic, including patients and associates.
Suggest and implement improvements, evaluate personal performance, and participate in in-services, continuing education, and departmental meetings.
Communicate clearly, listen carefully, and keep appropriate people informed.
Carry out assignments with little direction, manage timeliness, and provide proper notification of absence or tardiness.
Perform other functions as determined by the Billing Manager.