FRONT DESK BILLING CLERK

SU CLINICA FAMILIAR•Harlingen, TX

2d•Onsite

About The Position

Responsible for insurance verification, entering all pertinent Patient information into the system, collecting and posting payments to the practice management system under the supervision of the Billing Supervisor. Will perform all duties which involve interaction with a patient in a manner which ensures the patient has a pleasant and satisfactory experience. All interactions with the patients will be in adherence to the PCMH principles, policies, and procedures. Will be required to work overtime when needed to cover all nighttime clinics and weekend clinics. Working hours are the hours designated by the clinic. Billing Clerk may be assigned to assist or provide coverage in other departments based on operational needs.

Requirements

Knowledge of PCMH Model
Knowledge of SC policies and procedures
Knowledge of medical billing practices
Knowledge of ICD-9 and ICD-10 coding
Knowledge of computer software (Microsoft Word, Excel, etc.)
Knowledge in the use of electronic mail
Skilled in customer relations
Skilled in the use of a computer
Ability to provide effective customer service on a daily basis
Ability of read, write and spell correctly
Ability to maintain and effective and professional working relationship with the public and co-workers
Ability to bend, stretch, stoop, stand, sit and lift up to 20 lbs
Ability to operate a keyboard, telephone, and other office equipment
Ability to examine documents for accuracy and completeness
Ability to prepare records in accordance to detailed instructions
Ability to communicate fluently in English and Spanish
Ability to maintain a positive work environment
Ability to work in a fast paced environment
Ability to maintain a flexible work schedule
Ability to maintain client and office confidentiality
High school diploma or GED.
Graduate of an accredited Medical Office Specialist program with minimum of one year billing experience in a medical or hospital setting or two years billing in a medical or hospital setting.
Applicants must be familiar with private insurance, Medicare and Medicaid claims filing.
Experience with CPT and ICD-9 and ICD-10 coding.

Nice To Haves

This position requires handling of cash, collections, payments and billing and as such will require taking no less than five(5) consecutive days of accrued annual leave days per year. Therefore, five (5) of the accrued annual leave days will be reserved for this purpose.
This position requires handling cash, collections, payments, billing, purchasing or inventory duties and as such will require taking no less than five (5) consecutive days of accrued annual leave days per year. Therefore, five of the accrued annual leave days will be reserved for this purpose.
This position requires travel. Employee must provide transportation.
If employee operates a personal motor vehicle in the performance of their official duties, the employee must possess a current valid Texas driver’s license for the appropriate type of vehicle and Texas Liability insurance.
This position requires that an employee’s driving record be verified with law enforcement to ensure compliance with SC’s driving policy
Due to the nature of SC Services, it may be necessary for employees to work extended hours or other variations of the usual shift to ensure adequate care to patients and to maintain service to the community.

Responsibilities

Accurately enters data and maintains current computer files of all patient demographics, insurance and account information.
Accurately enters payments received on accounts, applying payments to existing charges and appropriately ensures account balances are paid currently and correctly through third party payers as well as patient payments.
Reconciles and balances daily Deposit Slip Report.
Verifies insurance benefits on new and established patients, documenting coverage, deductible and contractual conditions for billing and collection purposes.
Scans in insurance cards on every visit.
At every visit verifies coverage through TMHP for all Indigent and Sliding Fee Scale patients.
Sets tickets to correct payer source.
Communicates with patients and family members in both English and Spanish regarding projected charges, office polices, collection procedures, all available programs (i.e. Presumptive Title V, BCCS, DSHS and HTW etc.) as necessary.
Closely monitors accounts with pending Medicaid or other funding sources.
Reviews aging patient tickets and makes collection efforts and documents accordingly.
Reviews credit balance tickets assigned and refers tickets to Supervisor if adjustments and or refund requests are needed.
Assists with any statistical or special reporting required by Supervisor or Administration.
Obtains required signatures on all consent forms.
Ensure all patients are given a receipt for payment.
Provides and documents payment arrangements for outstanding balances and follows up on payment arrangements that have been made.
Will be crossed trained in all registration all billing departments i.e. Internal Medicine, Pediatrics and WHC duties which ever apply.
Will attend in-service training and SCF educational programs.
Responsible for their own safety as well as the safety of others.