Claims Processing Clerk

Magnolia Regional Health Center•Corinth, MS

About The Position

The Claims Processing Clerk receives and enters new claims, processes payments, conducts billing research, and responds to telephone inquiries. The role evaluates claims and administers payments, denials, or returns in accordance with policy provisions and organizational guidelines. The clerk assists patients and insurers with account questions through resolution and supports all areas of the Revenue Cycle.

Requirements

High school diploma or equivalent.
English language skills.
Ability to speak effectively and professionally with staff, management, and outside individuals at all levels, from elementary to professional.

Nice To Haves

Some college or business courses.
Experience in a hospital or medical setting.
Computer experience.
Multilingual capabilities.

Responsibilities

Assist patients and insurance representatives with questions about patient accounts through resolution.
Record appropriate system notes for services completed while assisting patients or insurers.
Complete timely and accurate follow-up on patient accounts across Revenue Cycle functions.
Follow through on communications with insurance companies and patients.
Ensure accounts are followed up on and thoroughly documented in the EHR system.
Meet daily productivity guidelines established by management.
Follow up with patients and payers to support prompt and accurate payments.
Assist patients and payers as needed in all areas of the Revenue Cycle.
Read and process remittances and denials in an appropriate and timely manner.
Work with Revenue Cycle staff on job duties assigned by the Revenue Cycle Director.
Promote customer service and create a positive patient experience.
Adhere to performance standards of behavior.