Billing Specialist/Accounts Receivable Clerk

Weiser Memorial Hospital•Weiser, ID

About The Position

Weiser Memorial Hospital is hiring a Billing Specialist/Accounts Receivable Clerk to manage the insurance billing process between the hospital and insurance companies, federal agencies, and other third-party payers. The role audits patient accounts for accurate procedures, charges, and coding; coordinates and collects payments; and supports performance improvement and quality improvement activities. The position also involves resolving account issues, documenting communications, maintaining confidentiality, and working with patients and hospital departments. The listed salary range is $18.39–$27.65.

Requirements

High school graduate or equivalent.
Proficiency in data entry using PC-based software.
Thorough understanding of different insurance plans, government agencies, Medicare, and Medicaid.
Previous billing and accounts receivable experience.
Must be authorized to work for any employer in the United States; the hospital does not offer H-1B or other visa sponsorship for this role.

Responsibilities

Coordinate payment processing and collect payments from insurance companies, federal and state agencies, and third-party payers.
Receive insurance and patient payments and post them to the correct patient accounts.
Maintain the insurance-denial log and send it to billers at the end of each week.
Gather and print EOBs from daily EFT deposits, along with the check register and credit card receipts from admitting.
Run the small-balance report and adjust small balances according to policy each month.
Maintain professional working relationships with insurance companies, government agencies, and third-party payers.
Contact appropriate agencies or companies to resolve account collection problems and independently resolve account issues.
Notify the Manager of Patient Financial Services when accounts should be referred to a collection agency after the hospital has exhausted collection efforts.
Review patient accounts to verify that procedures are properly coded and charges are correct.
Adjust patient bills to reflect credits, debits, and balances.
Collect patient balances when appropriate under policy and procedure.
Document correspondence and conversations with insurers, government agencies, third-party payers, and patients in patient accounts.
Stay informed about insurance-industry changes, including Medicare and Medicaid updates.
Update the daily cash board.
Make adjustments or write-offs within hospital limits.
Consult with other hospital departments to obtain and verify billing information.
Interact professionally with patients and families, protect the confidentiality of patient records, and explain statements and insurance coverage.
Maintain good working relationships within the department and with other hospital departments.
Enter all patient charges daily with accuracy and completeness.
Report problems or discrepancies that may delay or affect charge posting to the Manager of Patient Financial Services.
Participate in performance improvement and quality performance improvement activities.
Perform other duties as assigned.