Claims Processing Clerk

Grand River Health Main Campus•Rifle, CO

2d•Onsite

About The Position

Serve as a member of the Patient Financial Services team at Grand River Health Main Campus. Work closely with clinic coders to input and transmit claims, print workers’ compensation claims, and handle statements and rejections in the Allscripts system. Follow up on rejections to correct account information and manage clinic statements and client billing. Close out daily business activities across multiple systems and generate weekly and monthly reports, including claim rejection and late charge reports. Enter charges, post payments, and monitor age trial balances for hospital and clinics; generate bills for various agencies. Support programs such as Women’s Wellness/Komen by posting payments, following up, and distributing reports. Upload explanation of benefits for electronic funds transfers and act as site administrator for vendor communications. Review and adjust balances for American Health Tech (AHT) items and self-pay patient records; handle Care Center payments and month-end close processes. Balance deposits from all GRHD facilities and post clinic payments. Perform clerical duties including responding to inquiries, processing mail, preparing reports, scanning documents, and maintaining equipment such as folding machines and postage meters.

Requirements

High School Diploma or equivalent preferred
Two years or relevant work experience in a similar position preferred

Responsibilities

Input and transmit claims
Print workers’ compensation claims
Handle statements and rejections in the Allscripts system
Follow up on rejections to correct account information
Manage clinic statements and client billing
Close out daily business activities across multiple systems
Generate weekly and monthly reports, including claim rejection and late charge reports
Enter charges
Post payments
Monitor age trial balances for hospital and clinics
Generate bills for various agencies
Support programs such as Women’s Wellness/Komen by posting payments, following up, and distributing reports
Upload explanation of benefits for electronic funds transfers
Act as site administrator for vendor communications
Review and adjust balances for American Health Tech (AHT) items and self-pay patient records
Handle Care Center payments and month-end close processes
Balance deposits from all GRHD facilities
Post clinic payments
Respond to inquiries
Process mail
Prepare reports
Scan documents
Maintain equipment such as folding machines and postage meters