Insurance Clerk

Essential Duties and Responsibilities

• Filer Medicare and Medicare Advantage IP/OP claims electronically
• Compute total hospital bill showing amounts to be paid by insurance company and by patient
• Answer patient’s questions regarding statements and insurance coverage
• Follow up on unpaid insurance claims including Medicare primary, secondary insurance, and 1500 claims
• Manage correspondence received through mail daily
• Work on Collection Work list and Timely Filing Spreadsheet daily
• Handle RA’s/Denials on a weekly basis
• Set up OP records and perform IP Admission and Front Window duties on Saturdays
• Provide relief and support to Admissions Office and Switchboard as necessary