Billing Clerk - Business Office (19805)

SCHOOLCRAFT MEMORIAL HOSPITAL•Manistique, MI

9d•Onsite

About The Position

Submits claims to insurance companies for hospital or RHC services. Performs follow-up process with insurance company to obtain payment or proper processing of the claim to completion.

Requirements

Must be a high school graduate or equivalent.
3-5 years medical billing experience preferred (Critical Access Hospital and Rural Health Clinic).
Knowledge of business and accounting processes.
Competent use of computer systems, software, and 10 key calculators.
Familiarity with CPT and ICD-10 coding.
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
Ability to work well in a team environment.
Being able to triage priorities, delegate tasks if needed, and reasonably handle conflict.
Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
A calm manner and patience working with either patients or insurers during this process.
Knowledge of medical terminology likely to be encountered in medical claims.
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
A minimum of one to three years of experience in a medical office setting.
Ability to multitask.
Heartsaver CPR Certified (obtained upon employment)

Responsibilities

Preparing, reviewing, and transmitting claims using EMR and billing software, including electronic and paper claim processing.
Following up on unpaid claims within standard billing cycle timeframe.
Checking each insurance payment for accuracy and compliance with contract discount.
Calling insurance companies regarding any discrepancy in payments if necessary.
Coordinate insurance information with hospital/RHC billing staff.
Maintain automated and manual claims log assigned (this applies to Medicaid and BCBS only).
Identifying and billing secondary or tertiary insurances.
Reviewing accounts for insurance of patient follow-up.
Researching and appealing denied claims.
Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
Demonstrates appropriateness in meeting objectives in age specific.
Performs other duties as assigned.