Insurance Clerk

HOURS: 8am-5pm, Monday-Friday

POSITION SUMMARY:

Responsible for the insurance billing process between the hospital and insurance companies, federal agencies, and third-party payers. Audits patient accounts to ensure procedure, charges, and coding accuracy. Collects payments from commercial insurance companies, state, and federal agencies.

RESPONSIBILITIES:

• Coordinates the payment process and collects payments from insurance companies, federal and state agencies, and third-party payers.
• Maintains a professional working relationship with the insurance companies, government agencies, and third-party payers.
• Responsible for contacting the appropriate agency/company to resolve account collection problems.
• Works independently to resolve account problems.
• Communicates to the Business Office Manager those accounts that need to be sent to the collection agency after all collection efforts have been exhausted by the hospital.
• Reviews patient accounts to ensure procedures have been properly coded and the charges are correct.
• Adjusts patient's bills to reflect credits, debits, and balances.
• Collects balance due from patients when appropriate according to policy and procedure.
• Documents all correspondence and conversations with insurance companies, governmental agencies, third-party payers, and patients on patient's account.
• Stays informed of changes in the insurance industry.
• Consults with other hospital departments to obtain or verify billing information.
• Always accepts other assignments as needed.
• Demonstrates the ability to be flexible, organized, and function well in stressful situations.
• Communicates clearly and accurately with the Business Office Manager.
• Interacts with patients/families in a professional manner; ensures confidentiality of patient records.
• Maintains a good working relationship within the department and with other departments of the hospital.
• Reports to work on time and as scheduled; completes work within the designated time frame.
• Performs other duties as assigned.

EXPERIENCE:

• Previous billing experience in a healthcare setting preferred.
• Basic computer knowledge and data entry skills.
• Thorough understanding of Medicare, Medicaid, HMO's, PPO's, private insurance companies, etc.
• Ability to proficiently perform all essential job responsibilities after three-month orientation period.

EDUCATION:

• Requires a high school diploma or a GED state certification.
• Requires 5 basic units of DCH education per year.
• Requires DCH mandatory annual training.
• Ability to read, legibly write, and comprehend medical terminology, follow instructions, and perform simple mathematical calculations.

Dodge County Hospital Is An Equal Opportunity Employer: In order to provide equal employment and advancement opportunities to all individuals, employment decisions at Dodge County Hospital will be based on merit, qualifications, and abilities. Dodge County Hospital does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability or any other classification in accordance with federal, state and local statutes, regulations and ordinances. Additional Information Position Type : Full Time Shift : Day Contact Information Penny Brown - Director of Human Resources Human Resources Email: View email address on click.appcast.io Phone: View phone number on click.appcast.io Dodge County Hospital