Billing Clerk I

Billing Clerk I – Norristown Regional Health Center, 1401 DeKalb St, Norristown, PA 19401. Full‑time, Monday – Friday – no weekends. On‑site. Benefits Medical, Vision & Dental Insurance with HSA & FSA options 401(k) with employer match and additional contributions Employer‑Paid Life Insurance Tuition Reimbursement Generous Paid Time Off Room for growth and development Who We Are For over 55 years, Delaware Valley Community Health has served the underserved population of Greater Philadelphia. We support each other in a friendly, dynamic, and diverse environment and treat one another like family. We are committed to providing quality benefits and continuous learning opportunities to help our team members grow. What You’ll Do Evaluate, update, and verify patients’ insurances, including commercial. Determine sliding fee scale for all new and established under‑insured and uninsured patients. Collect daily monies paid by patients, issue receipts, reconcile receipts, and deliver a daily summary worksheet to the accounting department. Aid patients in contacting their HMO if assigned to another provider and wishing to become capitated to DVCH. Refer possible candidates to the Billing Clerk IV or the Social Worker via in‑house referral form. Verify accuracy and completeness of encounter forms prior to data entry. Verify accuracy of data entered (facility, provider, date of service, payor code, diagnosis, and procedure). Complete data entry from encounter forms on a daily basis. Obtain authorization for OB patients when required. Fax and mail all OB data forms, such as Baby Blueprints and KMHP forms. Stamp all authorized prescriptions presented by patients after seeing their provider. Complete data entry and review day sheets and charge entry audits for accuracy and completion. Answer questions from patients and staff regarding billing and forward calls to Billing management as appropriate. Contact practice management system for software issue resolution when necessary. Contact insurance carriers to resolve questions/issues when necessary. Explain benefits and eligibility standards for various insurance programs to DVCH patients. Determine the appropriate insurance program for the patient. Assist patients denied benefits with the appeal process, if warranted. Requirements High school diploma or equivalent. Previous billing experience in a health care setting highly preferred. Excellent interpersonal, oral, and written communication skills. Excellent analytical skills. Prior knowledge of the insurance plans in which the organization participates preferred. DVCH is an EOE/Veterans/Disabled/LGBTQ+ employer. #J-18808-Ljbffr Delaware Valley Community Health Family Medicine Residency Program