Billing Clerk - Star Community Health Dental

St. Luke's University Health NetworkAllentown, PA
Onsite

About The Position

The Billing Clerk is responsible for accurate and timely preparation of accounts so that they can be submitted to third-party carriers, intermediaries, and guarantors in accordance with hospital and policy and billing requirements/regulations. Responsible for assisting in the management of accounts receivable while ensuring the maximization of the insurance payment. Handles all inquiries on a timely basis according to hospital written procedures.

Requirements

  • High School Diploma or equivalent.
  • Must be able to speak, read and write English.
  • Experience with third party billing in a dental office or similar medical facility or physicians office is preferred.
  • Direct experience required with PC and billing software, other office equipment, typing, and clerical experience.

Nice To Haves

  • Bachelor’s degree preferred.

Responsibilities

  • Processes claims within assigned responsibility in a timely and efficient manner, performing all associated duties in order to ensure completeness and correctness of all claim information, facilitating maximum reimbursement.
  • Analyzes, updates, and corrects claims data according to established procedure.
  • Inputs data accurately, efficiently and consistently.
  • Performs work as scheduled prioritizing as required for maximum cash flow.
  • Demonstrates thorough knowledge of third-party payers’ claims requirements, computer capabilities as related to claims production, and dental records input as they affect claims.
  • Handles phone, mail, and personal inquiries from and regarding patient accounts.
  • Assists each person promptly, efficiently and courteously.
  • Follows through on all issues identified as requiring action as a result of inquiry.
  • Performs duties with a minimum of supervision; exhibits innovation and good judgment as well as thorough knowledge of ethical and legal billing procedures.
  • Follows hospital and department policies and procedures.
  • Observes confidentiality in all matters.
  • Maintains all documentation and records in accordance with federal and state regulations.
  • Maintains courteous and professional relations with other departments and/or employees.
  • Attends departmental meetings.
  • Actively participates as a team member in resolution of problems as they are identified.
  • Analyzes current procedures, bringing suggestions for improvement to the attention of team members and supervisor for consideration.
  • Consistently conveys a professional appearance.
  • Knowledge of complying with Federal and State law and private payer health care program requirements as well as the hospital’s ethical and business policies.
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