Billing Clerk

Billing ClerkA Full Time position with an excellent benefits package is available:$20.5137.5-hour work weekM – F, 7.5 hour shifts, between the hours of 8:00 a.m. – 4:00 p.m.Hybrid Position – in office twice a week27 paid days off in year 1 (vacation & holidays), plus paid sick time!4% flat 401k contribution (after 1 year)Employer paid life insuranceMedical, dental, and vision insurance availableSupportive and inclusive organizational cultureJob description:The Billing Clerk is a principal support position within the Fiscal Department. The Billing Clerk networks with insurance companies with regard to authorizations, Outpatient Treatment Reports (OTR's) and has proficiency with claims, aging reports, Medicaid rules and regulations, and must review and understand Explanation of Benefits forms received from insurance companies. The Billing Clerk will perform tasks/duties as assigned which include but are not limited to detailed billing functions and fundamental mathematical calculations.Specific responsibilities include:Responsible for the data entry of Daily Activity SheetsResponsible to print, review and mail patient billsAssist with client inquiriesReview Medicaid Explanation of Benefits with pended and denied charges weekly and takes necessary actions to ensure that the charges are corrected and able to be re-billed in a timely mannerEnsure that authorizations are maintained for all clients requiring authorizations in order for the insurance companies to pay the claimsEnsure that OTR's (Outpatient Treatment Reports) are completed and provided to the necessary insurance companies so that authorizations for services are in place prior to the clients receiving agency servicesReview aging reports by insurance companies; researches and corrects aged claims and meets the agency goal of having no claims on the aging report that are more than 60 days oldAssist with reconciliation of LS3's to the opens/closes within Simplemed for any given monthAssist with other reporting reconciliations and billing issues as assignedComplete triage information sheet i.e.: responsible for obtaining all pertinent information with regard to patient demographics/health insurance/responsible party/chief complaint and complete data entry of this pertinent information into the clinic billing systemVerify clients eligibility with specific insurance companiesVerify that an appointment has been booked with appropriately credentialed provider and notify the specific billing clerk whose task it is to complete the insurance authorization that the client is ready for that processVerify insurance eligibility for the daily appointment schedules of all clinicsAssist with the analysis and research of denied claimsMaintain self in a professional manner at all times and adheres to The Neighborhood Center policy, procedures and the Agency Mission Statement.Perform other duties and tasks as assignedRequired qualifications:Ability/experience in performing billing analysis and reporting activities in detailAbility/experience in performing tasks accurately within a prescribed time frameAbility/experience in using common office record keeping and filing systemsAbility/experience in understanding and applying regulations and proceduresAbility/experience in communicating effectively and professionally with the general public and coworkers by various mediaKnowledge and experience with the operations of health insurance companiesExperience with all aspects of health insurance eligibility verification both by telephone and through websitesExperience entering information into computer demographic (client information) screensOrganized and experienced in thorough follow-up of work tasksPunctual and regular attendance is an essential responsibility of each employee. Employees are expected to report to work as scheduled, on time and prepared to start working.Experience in data entry and proven accuracy in data entry skillsHigh School Diploma or Equivalency Diploma and four (4) years of experience in Medicaid and third party insurance billing and reconciliation.At The Neighborhood Center, Inc, we are committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity or expression, veteran status, or any other legally protected status.Equal Opportunity Employer: The Neighborhood Center, Inc. is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.We believe that diversity, equity, and inclusion are essential to the success of our organization and are dedicated to creating a workplace that welcomes and values all individuals. We strive to create a culture that fosters respect, openness, and understanding, and we encourage people from all backgrounds to apply for open positions. The Neighborhood Center Inc