Job Description

JOB TITLE: Medical Billing Clerk

SCHEDULE: Monday-Friday, 8:00AM-5:00PM

SUPERVISOR Business Office Manager or Assistant Administrator

Please note that this is a full-time, onsite opportunity. This opportunity is not a remote or hybrid position.

RESPONSIBILITIES:

Performs all billing for primary and secondary insurances for all practice locations

EDUCATION/REQUIREMENTS:

This individual must have a minimum of 2-5 years prior business office experience relating to surgery centers, hospitals and/or physicians' office and is proficient in the Business Office Functions listed below:

• High School Diploma
• Two or more years experience in billing and collections in a medical setting
• Strong interpersonal and organizational skills

KNOWLEDGE: SKILLS/KNOWLEDGE/ABILITIES:

• Responsible for correcting all edits daily to ensure accurate claims print
• Review all paper claims daily prior to being mailed to ensure complete information on claim form; attach all necessary supporting documentation prior to mailing
• Review and correct all claims on electronic audit trails every day
• File secondary claims for all practices in a timely manner
• Respond to all calls and messages within 24 hours of receipt
• Read and Respond to all incoming correspondence within three days of receipt
• Read and Respond to all email within same business day
• Work aging accounts in the priority defined by management daily
• Utilize all available tools to follow up on outstanding insurance balances including internet sites and direct payer connections
• Utilizes denial tracking tools daily that are implemented by management to report on all problems that prevent receipt of payments from payers
• Escalate issues through the defined chain of command to achieve resolution and payment
• Attend all staff meetings and training classes as assigned
• Project a professional and positive image in person or over the phone with all contacts
• Maintain all compliance standards, HIPAA standards, and confidentiality standards
• Participate in loss prevention by protecting company assets and maintaining a safe and clean environment
• Perform all other duties as assigned

PHYSICAL/MENTAL DEMANDS Requires sitting and standing associated with normal office environment.

ENVIRONMENTAL/WORKING CONDITIONS Normal busy surgical office environment.

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

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