BMC - BILLING/CODING CLERK

MOUNTAIN VIEW HOSPITAL LLC • Blackfoot, ID

5d • Onsite

About The Position

Mountain View Hospital is looking for a Billing/Coding Clerk to join our team! This role performs all duties related to the collection of accounts receivable. The Billing/Coding Clerk establishes payment arrangements with patients to collect on accounts and is responsible for maintaining patient accounts from the time they are billed until payment is received. This includes noting every account worked, refunding overpayments according to policy, and posting payments received via mail or lockbox. The position also involves filing all insurance according to State and Federal guidelines, checking with patient insurance for prior authorization requirements, and obtaining them before services are rendered. Additionally, the Billing/Coding Clerk will contact insurance via phone and/or web to review patient benefits and calculate the patient's estimated portion based on those benefits.

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 clinic billing system, and operate basic computer functions and software.
• Ability to read and interpret documents such as patient statements, 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 percentages 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.

Responsibilities

• Researches all information needed to complete billing process including getting charge information from physicians.
• Keys charge information into billing software program and produces billing.
• Enters payments from insurance companies from EOB’s and patient payments.
• Prepares bank deposits, records deposits, photocopies checks for entry into billing system.
• Responsible for follow-up on accounts until zero balance or turned over for collections.
• Answers billing calls and helps provide patient information assistance when needed.
• Reviews EOB’s/payments and verifies that accounts are being paid according to contract.
• Sorts/files correspondence and maintains items in date order.
• Responsible to work and follow-up on reminders daily.
• Processes non-clinical appeals on accounts when appropriate.
• Sends requests to medical records as needed.
• Responsible for rebilling claims when required.
• Responsible for contacting responsible party if additional information is requested for billing purposes.
• Responsible for notifying insured of insurance denials.
• Processes denials from insurance EOB’s weekly.
• Identifies problem accounts as well as claims processing delays and escalates to management.
• Maintains various payers bulletins and educational updates in work area.
• Attends/participates in all available educational opportunities to stay in compliance with insurance and government regulations.
• Maintains patient confidentiality at all times.
• Responsible for knowing policies and being familiar with services offered.
• Performs other job related duties as assigned by management.
• Complies with all PCI standards and other company policies and procedures for payment card acceptance and security.

Benefits

• Medical, Dental and Vision Insurance
• Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
• Retirement Plans (401K with up to 6% match)
• Earned Quarterly Bonus Program
• Education Reimbursement Program
• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED