Billing Clerk I

About the role

Billing Clerk I Norristown Regional Health Center - Norristown, PA On-site Full-time / Monday - Friday / No weekends!

Benefits We offer one of the most competitive benefits packages in our field, including:

• Medical, Vision, & Dental Insurance w/ HSA & FSA options
• 401(k) with employer match and additional contributions
• Employer Paid Life Insurance
• Tuition Reimbursement
• Generous Paid Time Off
• Room for growth and development

Responsibilities

• Responsible for the submission and resubmission of claims and payment postings.
• Evaluates, updates, and verifies patients’ insurances including commercial.
• Determines sliding fee scale for all new and established under-insured and uninsured patients.
• Collections daily monies paid by patients, issues receipts, reconciles receipts, and delivers daily summary worksheet to the accounting department.
• Aids patients in contacting their HMO if patient is assigned to another provider and wishes to become capitated to DVCH.
• Refers possible candidates to the Billing Clerk IV or the Social Worker via in-house referral form.
• Verifies accuracy and completeness of encounter forms prior to data entry.
• Completes data entry from encounter forms on daily basis.
• Obtains authorization for OB patients, when required.
• Faxes and mails all OB data forms, such as Baby Blueprints and KMHP forms.
• Stamps all authorized prescriptions presented by patients after seeing their provider.
• Completes data entry and reviews day sheets and charge entry user audits for accuracy and completion.
• Answers questions from patients and staff regarding billing and forwards calls to the Billing management as appropriate.
• Contacts practice management system for resolution of software issues, when necessary.
• Contacts insurance carriers to resolve questions/issues, when necessary.
• Explains the benefits and eligibility standards for the different insurance programs to DVCH patients.
• Determines the appropriate insurance program for the patient.
• Aids patients who are denied benefits with the appeal process, if warranted.

Requirements

• A high school diploma or equivalent is required.
• Previous billing experience in a health care setting is highly preferred.
• Excellent interpersonal and oral and written communications skills are required.
• Excellent analytical skills are required.
• Prior knowledge of the various insurance plans in which the organization participates is preferred.

Qualifications

• None specified

Skills

• Excellent interpersonal and oral and written communications skills
• Excellent analytical skills
• Prior knowledge of the various insurance plans in which the organization participates

Benefits

• Medical, Vision, & Dental Insurance w/ HSA & FSA options
• 401(k) with employer match and additional contributions
• Employer Paid Life Insurance
• Tuition Reimbursement
• Generous Paid Time Off
• Room for growth and development

Schedule

• On-site Full-time / Monday - Friday / No weekends!

Pay

• $17-$18/hr