SHS-BILLING CLERK

Sparrow • Lansing, MI

75d

About The Position

The position involves performing duties to ensure the proper billing of all inpatient and outpatient accounts. The role requires following up on all accounts until they are paid in full or until the account balance becomes private pay. The job description covers the essential duties assigned regularly, with the possibility of additional duties as assigned by leadership. Responsibilities include providing insurance companies with copies of bills, verifying demographic and insurance information, handling calls to patients and insurance companies, billing secondary insurance, resolving unpaid high dollar priority balances, processing mail related to accounts, and maintaining confidentiality regarding patient bills and records.

Requirements

• Billing Certificate from an Accredited School/College; OR High School Diploma or GED and a minimum of 1 year of medical billing experience in a health care environment.
• Demonstrated knowledge of medical terminology.
• Excellent communication and interpersonal skills.
• Knowledge/understanding of ICD-10 and CPT-4 coding.
• Ability to use a keyboard as required to perform essential duties.
• Working knowledge of Uniform Billing Guidelines, NCCI/MUE/OCE/LCD editing and generalized insurance follow-up workflows.
• Strong analytical thinking and customer service skills.
• Knowledge of UB04 Billing form - preferred.

Nice To Haves

• Demonstrated knowledge of medical terminology as would normally be obtained through successful completion of a medical terminology course.
• May be required to take a test of billing knowledge prior to hiring.

Responsibilities

• Provide insurance companies with copies of bills, via electronic or manual billing.
• Verify that the proper demographic and insurance information has been obtained.
• Handle incoming and outgoing telephone calls to patients/families and insurance companies.
• Bill secondary insurance companies as required.
• Work accounts to resolution utilizing appropriate tools.
• Work unpaid high dollar priority balances.
• Process mail pertaining to accounts.
• Provide supervisor with weekly statistics of claims submitted.
• Understand corporate compliance rules and regulations as it relates to billing.
• Maintain confidentiality regarding patient bills & records.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Administrative and Support Services
• Education Level: High school or GED