Billing Clerk

WESTERN WAYNE FAMILY HEALTH CENTERS•Dearborn, MI

16h•Onsite

About The Position

The Billing Clerk is responsible for collecting, posting, and managing account payments. The role prepares and submits insurance claims, follows up with insurance companies, handles patient billing inquiries and complaints, and performs related billing and collection tasks. The position also maintains account receivables aging analysis, keeps current on coding, procedures, and legislative changes related to billing, and uses Dentrix to perform assigned tasks. The Billing Clerk works closely with patients, associates, and other departments, maintains confidentiality in accordance with HIPAA guidelines, and performs other functions as determined by the Billing Manager. The role supports clinic-wide customer relations, teamwork, continuous improvement, communication, and self-management. It is located at Western Wayne Dearborn in Dearborn, Michigan, is full time, and has a day shift.

Requirements

Completion of a Billing and Coding program.
One year of experience in a medical or dental 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 organizationally appropriate relationships.
Knowledge of organization policies and procedures.
Knowledge of computers, systems, and medical or dental billing applications.
Skill in exercising initiative, appropriate judgment, problem-solving, and decision-making.
Skill in developing and maintaining effective relationships with internal and external customers.
Ability to work in a complex work environment.

Nice To Haves

Preferred knowledge of FQHC billing or multiple specialties.
Preferred knowledge of Athena or IDENTAL Soft.

Responsibilities

Prepare and submit clean claims to insurance companies electronically or on paper as needed.
Answer 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 account receivables aging analysis.
Conduct work in accordance with the employee manual and maintain confidentiality while adhering to HIPAA guidelines and regulations.
Identify and perform tasks within Dentrix.
Perform other functions as determined by the Billing Manager.
Treat guests, patients, physicians, and employees with care, courtesy, and respect; respond promptly to customer requests and clinic communications.
Work cooperatively within the department and across other areas, assist others, and interact with other departments on problem issues.
Seek and suggest improvements, complete assignments effectively, and attend in-services, continuing education programs, and departmental meetings.
Keep appropriate people informed and communicate clearly, tactfully, and respectfully of confidentiality and privacy.
Present a positive image of Western Wayne Family Health Center, carry out assignments with little direction, be timely, and provide proper notification of absences and tardiness.
Work weekends and shifts when necessary.