Patients Account/Benefits Clerk

CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT•San Angelo, TX

4d•Onsite

About The Position

This position assists with verifications of insurance coverage and pre-certification. Is able to help review patient account files and ensure their accuracy and completeness; receives and answers all billing-related inquires. Follows-up on patient accounts from date insurance claims are billed to receipt of payments. Completes annual financial assessments and routinely reviews to update patient accounts to correct financial status. Completes initial financial assessment for intake. Determines amount of patient's responsibility after third party payment, discusses financial matters concerning balances offering financial arrangements to patients upon admission, as well as outstanding balances upon discharge. Refers delinquent accounts to accounts manager for collection of balances. Receives and reviews past due bills and follow-up documents; contacts patients and/or third-party payer organizations to secure payments or arrange alternative settlement plans; identifies problem delinquencies and recommends their disposition; prepares and maintains collection-related records. Mail out billing statements. Assist clients with TANF, Medicaid and SSDI/SSI applications. Must be willing to be mobile and flexible. Performs other duties as assigned.

Requirements

Bilingual (Spanish/English) preferred.
Familiarity with claims processing and health related account and collection work.
Graduation from a standard senior high school or equivalent required, supplemented by courses in business administration is preferred.
Experience and education may be substituted for one another.
Valid Texas driver's license and must be insurable on the Center's insurance.
Demonstrates working knowledge of medical billings, third party reimbursement, Blue Cross, Medicare, Medicaid and commercial insurance coverage required
Effective interpersonal and verbal communication skills to interact with providers, patients and insurance companies
Displays basic knowledge of insurance verification processes
Problem solving
Organizational and time management skills
Customer service oriented
Skills in maintaining information as highly confidential, and strong computer skills.
Must be able to multitask and meet deadlines.

Responsibilities

Assists with verifications of insurance coverage and pre-certification.
Reviews patient account files and ensure their accuracy and completeness.
Receives and answers all billing-related inquires.
Follows-up on patient accounts from date insurance claims are billed to receipt of payments.
Completes annual financial assessments and routinely reviews to update patient accounts to correct financial status.
Completes initial financial assessment for intake.
Determines amount of patient's responsibility after third party payment, discusses financial matters concerning balances offering financial arrangements to patients upon admission, as well as outstanding balances upon discharge.
Refers delinquent accounts to accounts manager for collection of balances.
Receives and reviews past due bills and follow-up documents; contacts patients and/or third-party payer organizations to secure payments or arrange alternative settlement plans; identifies problem delinquencies and recommends their disposition; prepares and maintains collection-related records.
Mail out billing statements.
Assist clients with TANF, Medicaid and SSDI/SSI applications.
Must be willing to be mobile and flexible.
Performs other duties as assigned.