Billing Clerk

Responsibilities

• Prepare electronic and 1500 paper bills and invoices for medical services and treatments received
• Manage the billing for workers compensation and motor vehicle claims and all other third party payers
• Perform electronic billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submissions
• Resolve clearinghouse rejections
• Utilize all resources available, including electronic inquiries to verify eligibility, benefits and claim status
• Exercise good judgement toward account resolution and documents all activity on an account in a clear, accurate and consistent manner utilizing appropriate online system
• Maintain claims tracking for the worker’s compensation and motor vehicle billing program
• Provide support for the department and assist with special projects, as assigned
• Demonstrate excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as needed
• Advises team lead and/or supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessary
• Adhere to all Hospital Regulations associated with Compliance (to include HIPAA, etc)
• Is knowledgeable of and adheres to all hospital policies

Requirements

• High School Diploma
• 3 years of Experience in a related field