Billing Clerk

Job Title

Determines and assigns patient's payment responsibility for all elective procedures in which the patient is self-pay or has primary commercial insurance, but no secondary coverage. Collects the funds prior to the services being rendered. NOTE: Medicare, Medicaid and First Care patients are not included in the process. Accurately prepares daily deposit. Monthly balancing of Pre-Admit logs with payments collected.

Responsibilities

Essential Functions:

• For self-pay patients, collects the total payment during the pre-admissions process minus the self-pay discount.
• Advises the doctor's office if the patient declines to pay ahead of time, or does not pay as scheduled, in order to reschedule the procedure or complete a deferment if the procedure cannot be rescheduled.
• Prepares and delivers daily deposit as required.
• Assist walk-in patients who have simple to complex billing issues and or requests regarding their accounts.
• Collect the patient's payment and notify the scheduling department that the patient is financially cleared.
• Contact the insurance company to determine the patient's financial responsibility and create an estimate using the EPIC Patient Estimator.
• Contact the patient within 7 days of the scheduled procedure date and advise them of their patient responsibility due and offer any financing options available.
• For patients with commercial/PPO/HMO insurance, research the patient information in Op Time or via emailed requests for elective procedure pricing. For outside physicians, research emailed and faxed Request for Hospital Services forms.
• Contact the appropriate scheduler to resolve procedure code issues before pricing.
• Price the procedure, as well as any needed anesthesia, pathology and other ancillary costs for elective surgeries.
• All other duties as assigned

Qualifications

Experience Requirements:

• 1 year CPT and ICD-10 coding required
• 3 years working with health insurance companies, verifying benefits required
• 2 years physician billing required
• 3 years customer service required
• Up to 1 year experience working with physicians required
• 1 year collections preferred
• 1 year handling cash and making a daily deposit preferred

Education Requirements:

• High School Diploma or GED equivalent required
• College Diploma preferred

Other:

• Travel Required up to 50%
• UFJPI is an Equal Opportunity Employer and Drugfree Workplace