PHYSICIAN MANAGEMENT SERVICES - BILLING CLERK

MOUNTAIN VIEW HOSPITAL LLC•Idaho Falls, ID

2h•Onsite

About The Position

DUTIES AND RESPONSIBILITIES: Billing Clerk Collects delinquent accounts, establishes payment arrangements with patients, and follows up to ensure timely payments. Reviews unpaid accounts and determines appropriate action in accordance with established policies and procedures. Receives patient payments when applicable and ensures accurate posting in the EMR. Maintains required department records, reports, and files. Sets up financial arrangements when needed and monitors follow‑up accounts to ensure prompt payment. Follows accounts until a zero balance is achieved or the account is sent to collections. Participates in educational programs, in‑service sessions, and required meetings. Reviews and processes daily mail for assigned clients. Responds to patient account inquiries via email, phone, or in person in a timely and professional manner. Researches credit balance accounts and processes refunds to patients, guarantors, or third‑party payers. Implements and maintains effective systems for account collection, including accounts not paid in full at discharge or by the agreed‑upon date. Maintains patient confidentiality at all times. Remains knowledgeable about hospital policies, services, and assigned client policies. Completes other duties as assigned or requested. Manages payment arrangements for overdue self‑pay accounts, sends collection letters, reviews accounts on schedule, and contacts patients who do not respond. Handles all secondary and tertiary billing and files insurance claims in accordance with state and federal guidelines. Complies with all PCI standards and organizational policies related to payment card acceptance and security. Reviews aging and A/R reports on a monthly basis, ensuring all accounts in each aging bucket are documented with insurance findings regarding non‑payment, and addresses any claims approaching timely filing limits to reduce preventable write-offs.

Requirements

High school diploma or general education degree (GED).
One to three months related experience and/or training; or equivalent combination of education and experience.
Ability to use hospital information system, and operate basic computer functions and software.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of the organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to apply common sense to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations.
Ability to work well with others.
Expected to protect patient confidentiality, demonstrate strong attention to detail, meet productivity benchmarks, and contribute to a positive and efficient revenue cycle workflow.

Responsibilities

Collects delinquent accounts, establishes payment arrangements with patients, and follows up to ensure timely payments.
Reviews unpaid accounts and determines appropriate action in accordance with established policies and procedures.
Receives patient payments when applicable and ensures accurate posting in the EMR.
Maintains required department records, reports, and files.
Sets up financial arrangements when needed and monitors follow‑up accounts to ensure prompt payment.
Follows accounts until a zero balance is achieved or the account is sent to collections.
Participates in educational programs, in‑service sessions, and required meetings.
Reviews and processes daily mail for assigned clients.
Responds to patient account inquiries via email, phone, or in person in a timely and professional manner.
Researches credit balance accounts and processes refunds to patients, guarantors, or third‑party payers.
Implements and maintains effective systems for account collection, including accounts not paid in full at discharge or by the agreed‑upon date.
Maintains patient confidentiality at all times.
Remains knowledgeable about hospital policies, services, and assigned client policies.
Completes other duties as assigned or requested.
Manages payment arrangements for overdue self‑pay accounts, sends collection letters, reviews accounts on schedule, and contacts patients who do not respond.
Handles all secondary and tertiary billing and files insurance claims in accordance with state and federal guidelines.
Complies with all PCI standards and organizational policies related to payment card acceptance and security.
Reviews aging and A/R reports on a monthly basis, ensuring all accounts in each aging bucket are documented with insurance findings regarding non‑payment, and addresses any claims approaching timely filing limits to reduce preventable write-offs.