Medical Billing Clerk

4 weeks ago

Natick, United States Roessel Joy Full time
Job DescriptionJob DescriptionA healthcare organization is seeking to hire a Medical Billing Clerk. An ideal candidate would understand medical coding/billing in a medical office, understanding of medical terminology, and have worked in Epic and/or CareTracker.

Responsibilities:

  • Accurately processes and bills Medicare / Medicaid claims in accordance with payer requirements and organization policy.

  • Assists in the preparation of monthly billing and accounts receivable reports.

  • Maintains complete and accurate billing and accounts receivable records.

  • Alerts appropriate management team members regarding late or missing documents required for billing.

  • Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the billing manager of seriously overdue accounts.

  • Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.

  • Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state and federal regulations.

  • Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.

  • Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate organization personnel.

  • Gathers, collates, and reports key billing information to the Finance Director.

  • Collaborates with Finance in successfully reconciling the billing system reports with the general ledger.

  • Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.

  • Establishes and maintains positive working relationships with patients, family members, payers and referral sources.

  • Conducts pre-billing audit to ensure accuracy of documentation.

  • Generates reports at end of month close reflecting revenues and expenses, and accounts receivable and collections.

  • Performs other duties as assigned. Performs other specific projects relating to billing, data entry, and computer operations as required.



Requirements

  • (2) years of experience in accounts receivable and or healthcare data entry, preferably in home health care systems.

  • (1) year of previous health care related billing experience, preferably in home health care billing.

  • Experience with McKesson software and/or experience/exposure to multiple billing software packages.

  • Great attention to detail, good organizational skills and ability to manage and prioritize multiple tasks in a fast-paced environment.

  • Excellent verbal and written communication skills and demonstrated business telephone skills.

  • Proficient in MS Office and the internet.



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