Data Entry Billing Clerk

William F Ryan Community Health Cen•New York, NY

4d•Onsite

About The Position

The Data Entry Billing Clerk accurately transcribes and/or verifies information from documents such as encounters, referrals, and electronic health records (EHRs) in the Center’s main computer system. The role uses correction, deletion, and control techniques and may take on other data-processing and billing tasks as needed. The work supports the mission and goals of Ryan Network. The clerk creates and/or verifies charges in the Center’s E Clinical Works/Practice Management System based on locked EHR procedure codes; processes electronic encounters and claims into appropriate categories before submission; monitors open encounters; and batches and submits claims to insurers. The clerk also verifies insurance information, corrects and resubmits claims, follows up on missing consent forms, practitioner signatures, diagnoses, and CPT codes, and obtains co-signatures for non-credentialed providers. The role includes operating office machines, keeping the supervisor informed about workload status, and promptly reporting problems or unusual occurrences. The position requires professional, courteous, and respectful interactions with patients, the supervisor, and coworkers. Work is primarily performed in an ambulatory primary care setting, where behavior may be unpredictable and acute or chronic infectious diseases may be present. Adequate preparation and precautions are necessary. The role has a 90-day introductory training period. Ryan Health is an Equal Opportunity Employer.

Requirements

High school diploma or GED.
Knowledge of computers, including Microsoft Word and Excel.
Knowledge of and/or experience with insurance verification and billing policies and procedures.
Excellent interpersonal skills.
Ability to organize, prioritize, and execute multiple responsibilities.
Professional, courteous, and respectful customer-service approach.
Ability to work well with others and contribute input to improve outcomes.
Ability to ask others for opinions and feedback and provide feedback tactfully and respectfully.

Responsibilities

Accurately transcribe and/or verify information from encounters, referrals, EHRs, and other documents in the Center’s main computer system.
Use correction, deletion, and control techniques when processing data.
Create and/or verify charges from the EHR in the Center’s E Clinical Works/Practice Management System based on locked EHR procedure codes.
Process electronic encounters and claims into appropriate categories before claim submission.
Monitor open encounters daily.
Batch and submit claims to the appropriate insurance companies.
Keep the supervisor informed about workload status to support timely completion.
Review EHRs and follow up on missing scanned consent forms, practitioner signatures, diagnoses, and CPT codes.
Obtain co-signatures for non-credentialed providers.
Operate office machines, including Xerox equipment and a stamp machine.
Verify insurance information, review and correct errors, and resubmit claims using the Center’s E Clinical Works/Practice Management System.
Perform other data-processing and billing tasks as assigned or required.
Immediately report problems or unusual occurrences to the supervisor.
Maintain a professional, courteous, and respectful attitude when interacting with patients, the supervisor, and other employees.