BMC - BILLING/CODING CLERK

Duties And Responsibilities

• Researches all information needed to complete billing process including getting charge information from physicians.
• Keys charge information into billing software program and produces billing.
• Enters payments from insurance companies from EOB’s and patient payments.
• Prepares bank deposits, records deposits, photocopies checks for entry into billing system.
• Follows up on accounts until zero balance or turned over for collections.
• Answers billing calls and provides patient information assistance when needed.
• Reviews EOB’s/payments and verifies that accounts are being paid according to contract.
• Sorts/files correspondence and maintains items in date order.
• Processes non-clinical appeals on accounts when appropriate.
• Sends requests to medical records as needed.
• Processes denials from insurance EOB’s weekly.
• Identifies problem accounts as well as claims processing delays and escalates to management.
• Maintains various payers bulletins and educational updates in work area.
• Attends/participates in all available educational opportunities to stay in compliance with insurance and government regulations.
• Maintains patient confidentiality at all times.
• Performs other job related duties as assigned by management.

Qualifications

• High school diploma or general education degree (GED).
• One to three months related experience and/or training; or equivalent combination of education and experience.
• Ability to use clinic billing system, and operate basic computer functions and software.
• Ability to read and interpret documents such as patient statements, safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively before groups of customers or employees of the organization.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percentages and to draw and interpret bar graphs.