Billing Clerk

Westchester Medical Center • Suffern, NY

280d • $18 - $23

About The Position

The Billing Clerk acts as the liaison between the billing department and clinic patients. Collect all necessary billing information, insurance verification, and signature on appropriate forms and enter this information into the hospital computer system. Sets fees for co-payment and self-pay patients.

Requirements

• Minimum two years experience in medical billing and customer service in a healthcare setting including utilization of medical billing computer software required.
• Experience in researching patient accounts and reconciling accounts receivable issues with finance department required.
• Knowledge of Medicare, Medicaid and third party regulations, billing systems.
• Acute Care setting preferred.
• Must have ability to work with numbers.
• Must possess computer skills.
• Must be able to deal with the public.
• Must be a team player.

Responsibilities

• Maintains financial accounts on automated systems.
• Acts as liaison with Admitting Office, Business Office, and Medical Records, to provide and obtain updated billing information.
• Responds to inquiries from patients, patient's family, departmental staff, insurance representatives, and third party payers in writing or by telephone.
• Corrects and trends electronic denials and suspended and rejected claims from Medicaid or third party payers.
• Investigates and resolves account discrepancies and determines potential insurance/patient refunds.
• Investigates denials, follows up with additional information, and rebills or adjusts as necessary.
• Performs cash posting duties and posts vouchers from various commercial insurance companies; identifies and corrects errors, verifies posting when receipt received from cash.
• Photocopies and refers denials for follow up.
• Photocopies and mails Explanation of Benefits forms to patients with co-pays.
• Reviews reports for delinquent accounts over 180 days, and follows up by re-billing or making account adjustments.
• Utilizes specialized computer software, including uploading data into McKesson for cash posting and E?Paces for Medicaid.
• Balances checks and receipts from patients related to Medicaid spend down.
• Maintains electronic and manual financial records related to payments from patients.
• Prepares cash and checks for deposit, and maintains records of deposits.
• Maintains confidentiality of patient information.
• Effectively uses automated systems to perform work assignments.
• Performs other duties as assigned.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED