Billing Clerk

4 weeks ago

Brockton, United States Brockton Neighborhood Health Center Full time
Job DescriptionJob DescriptionBilling Clerk $23Reports to : Billing SupervisorJob Summary:
  • To perform tasks required to maintain accurate accounts receivable system and maximization of cash flow.
  • To prepare routine claim processing.
  • To initiate appropriate action to collect on aging account balances.
Essential Functions:Charge Review:
  • Ensures all encounters and over-the-counter cash collections are input in a timely manner. Utilize all available data sources for accuracy (i.e.: provider schedules, missing encounters, cash logs, patient charts, etc.)
  1. Sends a report of errors to appropriate personnel for correction before processing. Will notify the Supervisor of outstanding issues if not resolve with in 48 hours
Cash collections:
  • On a daily basis, inputs cash receipts into the health center’s practice management system.
  • Compares EOBs and batch totals to the daily bank deposit and the cash receipt journal.
  • Researches and resolves issues causing denied payments and report problems as needed to Supervisor. Note denial reason in Practice Management.
  • Researches other payment sources available. If none, post the appropriate denial code to line item and bill the patient.
  • Corrects and reprocesses denials of insurance claims in a timely manner.
  1. Collection Activity:
  • Reviews status of aged patient and insurance balances and initiates collection action.
  • Researches disputed delinquent account balances.
  • Corrects any errors, including misapplied payments, unapplied payments, adjustments due to non-covered services or contractual allowances, and overpayments by the insurance companies.
  • Reviews accounts to be recommended for bad debt write-offs and assists in report preparation.
  • Sends monthly patient statements and initiates the appropriate follow-up action to insure payment of accounts.
  1. Preparation of claims:
  • At least twice per week, prepares electronic medical claims (EMC) and paper claims for all appropriate insurance carriers.
  • Reviews all claims for possible errors in coding (i.e.: non-billable services, identification numbers, policy numbers, group numbers, provider numbers, diagnoses, procedure codes, etc.).
  • Routinely processes re-bill to maximize cash flow and to meet billing deadlines.
Additional Responsibilities:
  1. May perform other duties as assigned by supervisor or department head.
  3. Must have working knowledge of patient registration and patient schedules.
3.Must keep abreast of changes in 3rd party reimbursement rules and regulations. Minimum Skills and Knowledge Requirements:· Five years combined in general medical office administration· One year Medical Billing clerk· Certified Professional Coder a plus Computer software applications; word processor ands; spreadsheet; EDI systems· CPT, ICD-9/10 and HCPC Level II coding· HIPAA, Medicare/FQHC, Medicaid· Computer skills· Organizational skill· Detail orientated· Able to work with little supervision· Fluency in multiple languages helpfulWorking Conditions:Physical Demands: The individual must be capable of sitting at a desk for long periods; also, requires walking between health center sites to retrieve necessary forms for processing of claims. Occasional long hours may be required to accommodate work loads. Requires lifting of small pieces of office equipment and/or boxes not to exceed 20 pounds. Visual acuity sufficient for frequent reading. Hearing acuity sufficient for holding conversation with or without assistance of audio devices.Personal Attributes: Ability to function during stress, able to maintain confidentiality, able to adapt to change, able to work with patients and employees within home department and the health center. Provide excellent customer service.About us: BNHC is a multicultural organization that collaborates with community agencies and residents to provide high quality comprehensive health care. We are committed to health promotion and disease prevention. BNHC began providing services in 1994 in a mobile medical van operating out of a church parking lot. Since then, the center has rapidly grown to provide desperately needed services to low-income and marginalized populations in the greater Brockton area. BNHC is committed to providing care that is responsive to community health needs and is linguistically, culturally and financially accessible. BNHC serves an extremely diverse patient population including Brazilian, Cape Verdean, Haitian, Latino, Portuguese, African American and Caucasian, 77% of whom live in poverty.BNHC is committed to providing a safe and heathy environment for patients and staff. As a condition of employment, employees, to include new hires, are required to be fully vaccinated to include the most recent COVID 19 booster and annual flu vaccines, with the exception of those who have documented medical or religious exemptions, that must be approved by BNHC according to its protocols. Additional vaccines may be required based on the recommendation of the CDC. New hires who are not yet vaccinated for flu or COVID can arrange to be vaccinated on site.BROCKTON NEIGHBORHOOD HEALTH CENTER, INC. does not discriminate in hiring or employment on the basis of race, color, religion/creed, national origin, ancestry, age, gender, transgender status or gender identity, sexual orientation, legally recognized disability, veteran, military or military reserve status, HIV status, genetic information, or any other legally protected class. No question used on this application is intended to acquire information to be used for such discrimination.

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