Billing/Insurance Clerk II - 007543

Division: Student Affairs – Student Health Services

Minimum Qualifications

• High school diploma or equivalent
• Three years of clerical experience
• An equivalent combination of education and experience may be considered

Preferred Qualifications

• Medical business office experience

Responsibilities

• Verifies and inputs insurance benefits, explains benefits to patients, receives and posts payments, balances daily receivables, prepares daily batch reports
• Sends, receives, and logs medical records in adherence to policy and procedures
• Oversees office scheduling, answers phones, sends and responds to faxes and Student Health email correspondence
• Calls patients to remind them of scheduled appointments, reschedule ‘no show’ appointments, and verify demographic information for billing purposes
• Prepares charts and encounter tickets for scheduled clinics in accordance with written policies and guidelines
• Greets and checks patients into clinic; checks patients out of clinic
• Obtains demographic and insurance information
• Obtains insurance and medical records release authorization in accordance with HCFA guidelines and Risk Management policies
• Verifies insurance through individual insurance carrier websites and documents necessary information for billing purposes; scans in insurance information
• Notifies patients of non-covered services being rendered
• Collects patients’ co-payments or balances due on account and enters payments into the system
• Answers patients’ inquiries regarding fees and payments
• Prints bills on demand for patients requesting them at time of service
• Tracks encounter tickets daily to ensure that all clinical activities are posted, all ‘no show’ and ‘canceled’ patients are correctly recorded on both the information system and medical records for compliance purposes, and that all charges, payments, and deposits balance
• Follows appropriate cash handling policies and procedures
• Schedules patients’ appointments for faculty and other medical providers in accordance with written policies and guidelines
• Answers telephone inquiries and provides basic information regarding physician qualifications, available appointment times, directions, and billing requirements
• Screens telephone calls and connects patients to staff most qualified to handle inquiries deemed outside of the scope of this position (i.e., medical, legal, compliance issues, etc.) in accordance with policies and procedures
• Generates referral authorization requests to other specialists following written policies and procedures
• Maintains equipment located in front office and lobby of the clinic
• Verifies and documents immunizations and maintains all medical records
• Files clinical data, referrals, inpatient records, and test results daily
• Processes all medical records requests, disability forms, and subpoenaed records according to HIPAA and Risk Management guidelines and policies
• Utilizes health network information system for patient registration, scheduling appointments, checking patients in/out, and patient inquiry
• Ensures patient confidentiality
• Regular and prompt attendance
• Ability to work schedule as defined and overtime as required
• Related duties as required

Schedule

• Monday - Friday
• 8:00 a.m. - 5:00 p.m.
• Full-time, regular position