Patients Collections Clerk – Katy

Qualifications

• Bilingual – Spanish and English required for this role!
• High school graduate or equivalent.
• Two years of experience in a medical office environment to include work with Medicaid, Managed care organizations, commercial and other third party payer claims submission and appeals.
• Federally Qualified Health Center (FQHC) experience preferred.
• Experience with medical and dental terminology, procedural and diagnostic coding (ICD, CPT, CDT, and HCPCS).
• Maintain compliance with HIPAA regulations.
• Good oral and written communication skills.
• Ability to deal professionally, courteously and efficiently with the public and all levels of the organization.
• Ability to handle multiple projects simultaneously.
• Ability to operate computer, copier, fax, and 10-key machine.
• Proficient in practice management system and Microsoft Office software applications.
• Basic accounting knowledge.

Essential Duties and Responsibilities

• Application of patient payments, and all adjustments required for accurate patient accounts receivable records for all outstanding patient balances.
• Review patient accounts and request adjustments and/or refunds, as appropriate.
• Responsible for monthly electronic submission of patient statement file to clearinghouse.
• Counsel patients with outstanding account balances and set up and monitor payment plans.
• Responsible for monitoring the patient accounts receivable aging report, bad debt and credit aging balance reports, and using them to identify accounts requiring attention.
• Monitor daily appointments schedule to facilitate providing patients with a statement of their past due account balance when they arrive for their appointment.
• Responsible for staying current with the rules and regulations and updates or changes in state and federal regulations.
• Service back up for insurance verification.
• Inform billing manager of accounts receivable issues, and the potential effect the issues may have on the organization.
• Work with HCM staff to stay informed of patient flow through the clinics and provide feedback to HCM supervisory staff of incomplete or incorrect information and/or changes in the requirements affecting billing and collections.
• Continually search for ways to improve the accounts receivable process, striving for efficiency in daily operations.
• It is the employee’s responsibility to further their knowledge by reading all handouts, memos, journals, provided and actively participate in available in service and formal education workshops.
• Perform other duties as assigned by the Billing Manager.
• Comply with all company policies, procedures and regulatory requirements.