Administrative Clerk

Customer Service And Support For Billing And Claims Activities

Provides customer service and support for billing and claims activities within the Business Office.

Full-time, benefited position working 80 hours per two week pay period. Days of work are Monday - Friday with no nights, weekends or holidays.

Job Functions:

• Answers the department phone
• Meets and greets patients.
• Assists patients with questions on their statements.
• Takes payments towards accounts over the phone or in person.
• Afternoon deposit collections
• Keys charge tickets
• Crna charge queue
• Works closely with Credentialing/Enrollment Specialist to ensure timely enrollment and responses to insurance requests
• Performs provider enrollment, working closely with professionals to fill out numerous enrollment forms, keeping information confidential.
• Communicates with insurance companies regarding the status of enrollment.
• Performs all re-enrollment activities for all providers.
• Monitors that the enrollment processes correctly.
• Contacts insurance companies if our claims begin denying due to enrollment issues and fixes those problems.
• 90 day revalidation of provider rosters for insurance companies
• Caqh 90 day updates and requests for information
• Enters Billing group NPI Sanford IT tickets
• Performs other related duties as assigned or requested.

Qualifications/Requirements For This Position (Administrative Clerk):

1. Preparation and Training - Completion of high school education. Minimum typing speed 50 wpm required.
2. Work Experience - One year clerical experience with knowledge of computer and 10 key; more than three months of progressively more responsible experience required; two months on-the-job training.
3. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employees are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule.
4. Analytical Ability - Gather and interpret data for data entry; diagnose common computer error situations; good organizational skills.
5. Independent Judgement - Independent judgment is required; moderate consequences of errors of judgment.
6. Contacts with Others - Social sensitivity and effective communication is required with public contact and co-workers; compliance to behavior standards is required.
7. Supervising the Work of Others - Manages own work.
8. Responsibility for Welfare of Others - Infrequently provides for the physical well-being of the patient that may result in serious consequences, i.e. emergency calls such as to call codes.
9. Mental / Visual Effort - Must be able to concentrate amid distractions; think clearly under pressure; work regularly requires high level of mental/visual effort. Must be able to speak and write the English language in an understandable manner. Must be in good general health and demonstrate emotional stability. Visual acuity necessary for performing routine procedures.
10. Working Conditions - Works in well lit office with some inconvenience caused by crowded work area; area subject to temperature discomforts and noise. May be required/requested to work on shifts other than the one for which hired. Participates in and complies with JRMC Safety Management Program. Maintains knowledge of and observes Standard Precautions. Practices aseptic techniques whenever appropriate. OSHA Job Classification: This position is defined as a Category II: Employee does not have exposure to bloodborne pathogens.
11. Physical and Sensory Effort - Must be able to occasionally accomplish movement of computer paper and forms that are a maximum of 45 pounds. Occasional reaching, stooping, bending, kneeling, and crouching. Constant sitting is required to perform the major responsibilities of this job.
12. Promotion - No formal line of promotion
13. Background Check - A comprehensive background check and drug screening will be conducted as a condition of employment for this role.
14. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire.
15. Physical Requirements - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation.

Employee Requirements:

• Visual Observation - Continuously
• Standing - Occasionally
• Walking - Frequently
• Sitting - Frequently
• Hands and Finger Dexterity - Continuously
• Reaching with Hands and Arms - Occasionally
• Climbing - Occasionally
• Stooping/Kneeling/Crouching/Crawling - Occasionally
• Hearing/Listening - Continuously
• Tasting or Smelling - Never
• Working Inside - Continuously
• Working Outside - Never
• Working in Extreme Heat - Never
• Working in Extreme Cold - Never
• Working with Hazardous Materials - Occasionally
• Noise - Occasionally
• Working in Dirt/Dust - Never
• Driving - Never

Lifting/Carrying/Pushing/Pulling:

• Up to 10 pounds - Occasionally
• Up to 25 pounds - Occasionally
• Up to 50 pounds - Occasionally
• Up to 75 pounds - Never
• Up to 100 pounds - Never
• Over 100 pounds - Never