Patients Collections Clerk - Katy Spring Branch Community Health Center

SUMMARY

*Bilingual – Spanish and English required for this role!

QUALIFICATIONS

Fluent in Spanish, both oral and written. High school graduate or equivalent. Two years of experience in a medical office environment to include work with Medicaid, Managed care organizations, commercial and other third party payer claims submission and appeals. Federally Qualified Health Center (FQHC) experience preferred. Experience with medical and dental terminology, procedural and diagnostic coding (ICD, CPT, CDT, and HCPCS). Maintain compliance with HIPAA regulations. Good oral and written communication skills. Ability to deal professionally, courteously and efficiently with the public and all levels of the organization. Ability to handle multiple projects simultaneously. Ability to operate computer, copier, fax, and 10-key machine. Proficient in practice management system and Microsoft Office software applications. Basic accounting knowledge.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Application of patient payments, and all adjustments required for accurate patient accounts receivable records for all outstanding patient balances.
2. Review patient accounts and request adjustments and/or refunds, as appropriate.
3. Responsible for monthly electronic submission of patient statement file to clearinghouse.
4. Counsel patients with outstanding account balances and set up and monitor payment plans.
5. Responsible for monitoring the patient accounts receivable aging report, bad debt and credit aging balance reports, and using them to identify accounts requiring attention.
6. Monitor daily appointments schedule to facilitate providing patients with a statement of their past due account balance when they arrive for their appointment.
7. Responsible for staying current with the rules and regulations and updates or changes in state and federal regulations.
8. Service back up for insurance verification.
9. Inform billing manager of accounts receivable issues, and the potential effect the issues may have on the organization.
10. Work with HCM staff to stay informed of patient flow through the clinics and provide feedback to HCM supervisory staff of incomplete or incorrect information and/or changes in the requirements affecting billing and collections.
11. Continually search for ways to improve the accounts receivable process, striving for efficiency in daily operations.
12. It is the employee’s responsibility to further their knowledge by reading all handouts, memos, journals, provided and actively participate in available in service and formal education workshops.
13. Perform other duties as assigned by the Billing Manager.
14. Comply with all company policies, procedures and regulatory requirements.

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