Billing Clerk

PRIMARY FUNCTIONResponsible for completing and processing insurance claim forms for all government and commercial insurance patients.Complies with department and organization-wide policies, Critical Access Hospital requirements, Safety, and Infection Control, and all Federal and State of Colorado regulations related to the performance of Keefe Memorial Hospital operations and requirements of the compliance program.SIGNIFICANT DUTIESProcesses patient accounts to commercial insurance, Medicare, Medicaid, Tricare, Veterans Administration, Every Woman Matters and others.Files insurance claims for Professional Fees, auto insurance claims.Performs follow-up functions for insurance claims within 45 day and on past due claims.Maintains neat and orderly billing files.Redistributes accounts for insurance reporting.Combines outpatient and inpatient accounts as needed.Monitors daily deposits for errors, 2nd insurance billing and denials.Assures timely follow-up on patient account balances, keeping accounts receivable to the lowest level possible.Processes appropriate credit letters and collection stickers associated with insurance follow-up. Records bankruptcy notifications to accounts.Works collaboratively with provider representatives for insurance assistance needs.Works collaboratively with department leaders on charge errors.Processes daily deposits.Performs back-up functions for payment collections, mail posting and data entry questions.Ensures the confidentiality of claims and shreds appropriate documents.Performs other duties as assigned.GENERAL REQUIREMENTSDemonstrates commitment to the organizational mission, vision, and core values.Knowledge of federal and state regulations related to relative practice area.Demonstration of organizational skills and ability to make sound decisions for departmental delivery of care.Maintains current knowledge of department and hospital operations, local and industry trends and practices, market forces and outside regulatory requirements.Identifies opportunities and challenges to the departments’ services and applies this knowledge to develop new or enhance existing policies, procedures, systems, and services.Demonstrates effective relationships with hospital staff, patients, public, outside agencies, and providers.Communicates effectively verbally and in writing.Maintains confidentiality of patient information.Exercises professional judgment, courtesy, and professionalism in daily interactions with others.Establishes and maintains effective working relationships with health care team members and diverse patient populations.There will be opportunities for other duties as this position may evolve and policies and training may change. Reasonable accommodations will be reviewed, and modifications may be made according to ADA guidelines.Utilizes proper body mechanics, transfer/lifting techniques and appropriate equipment to minimize fall risk to patient and injury to self.QUALIFICATIONSEducation and/or ExperienceHigh school diploma or equivalent required.Two-year degree preferred.One-year previous office experience.Proficient in Microsoft ExcelCertificates, Licensure, RegistrationsN/A #J-18808-Ljbffr Keefe Memorial Hospital