Advanced Billing Clerk

JOB SUMMARY

Performs billing and collection duties.  Eligibility for this position is recommended by the Director of Reimbursement and approved by the Chief Financial Officer.  Eligibility for this position is objectively determined by the measurable attainment of job capabilities and the job qualifications listed below.

DUTIES AND RESPONSIBILITIES:

Processes collection and reimbursement data, including monthly self-pay statements, weekly insurance bills, and scheduled electronic billings.

Processes overpayment reimbursements.

Performs rebilling and back-billing, and processes rejected first billings, to primary and secondary parties.

Processes changes in patient status and reports to clinics any delinquent patient status.

Prepares appropriate reports for monitoring of accounts receivable and collections.

Responds with professionalism and courtesy to written and telephone inquiries or complaints pertaining to patient accounts according to BSHC protocol.

Prepares monthly and annual reports and various statistical reports as assigned.

Processes daily clinic deposits and A/R deposits.

Assists with accounting procedures as needed.

Files and copies as needed.

Adheres to the terms and conditions set forth in BSHC’s corporate compliance program.

Ensures confidential information in accordance with BSHC’s policy and current HIPAA regulations.

Performs other duties as assigned.

MINIMUM QUALIFICATIONS / REQUIREMENTS:

High school diploma or equivalent

Associates degree preferred

Minimum of two years’ experience in medical billing (Degree in related field may substitute for 1 year of medical billing experience)

Minimum of three years familiarity with computers and data entry, and office machines, such as calculators and photocopy equipment

Ability to bill all payer sources, including Medicare, Medicaid, insurance, and self-pay

Knowledge of Federal and State laws and regulations pertaining to reimbursement

PHYSICAL REQUIREMENTS / WORK ENVIRONMENT:

Physical effort is minimal but does involve high level of hand and finger dexterity through frequent use of keypad, calculator and/or adding machine.

Work is normally performed in a typical interior/office work environment.