Billing Clerk

Overview Position Title: Billing Clerk 1-FIS011 Work Unit: AACSB Administration | County: Dougherty Immediate Supervisor's Title: Billing Manager and Revenue Cycle Management Director Assigned responsibilities and qualifications are described below. Qualifications Knowledge of basic accounting, data entry, balancing accounts, and ability to follow processing guidelines according to agency procedures Ability to use appropriate software (e.g., MS Office, EMR) Ability to handle money and checks, skills in basic math Ability to address patients/customers in a courteous and professional manner Knowledge of billing policies and procedures High school diploma One or more years of experience in working insurance and denials for effective resolution Experience working with Electronic Medical Records Two or more years in medical billing and collections Functional knowledge of computer and Microsoft Office Must work well in a team environment and independently Preference for: one or more years in State Contract Service Environment Preference for: one or more years working with Developmental Disability billing Physical: No lifting of more than 20 pounds Responsibilities Entering and processing claim data Provides ongoing/on-call operational and end-user assistance Analyzes and resolves problems on a local level in an accurate and timely manner Post and track payments Communicate with providers with progress in resolving billing issues Generate and send client statements monthly Enter financial or billing information in clients' accounts Work monthly aging reports for outstanding balances and resubmit corrected claims Resolve insurance authorizations and denials Submit appeals to insurance companies as needed to secure payments on claims Serve as point of contact for clients with questions regarding their statements or account Answer calls from local administrators and/or users in a timely, efficient, and professional manner Document problems and resolutions within agency support system Listen to end-users and maintain a professional business relationship Enter billing data for Developmental Disability Participants (if assigned) Calculate data and complete monthly reports of DD services for CEO and state-required reports Track authorizations and notify appropriate staff when authorizations are going to expire (30 days ahead) and if units are depleted and new authorizations are needed Work with managers and supervisors to assist with all billing and authorization problems and reach a resolution in a timely manner Share responsibility of downloading and filing assigned insurance weekly and posting payments Communicate with insurance providers to reach resolutions for billing issues and report to appropriate staff and CIMO of issues that may cause claim rejection, billing, coding, or modifier errors Work insurance denials to reach resolution within 5 days from the date the RA is received; alert appropriate staff of needed changes or corrections and follow through to ensure claim is resubmitted within time limits Notify immediate supervisor if problems are not resolved within 5 days Entering and processing all billing data for non-DD claims (if assigned) Extract, enter, and work insurance denials to reach resolution within 5 days from the date the RA is received; alert appropriate staff of needed changes or corrections, and follow through to ensure claims are resubmitted within time limits Work with managers and supervisors to assist with all billing and authorization problems, and reach a resolution in a timely manner; notify immediate supervisor if problems are not resolved within 5 days Medical Records Support Provide support to the Medical Records Department by releasing medical information in either oral or written format, obtaining necessary releases from individuals, following HIPAA regulations to allow release Other Duties Performs billing functions, completes required accounting documentation, such as batch reports, bank statements, and agency-generated reports Enters financial transactions into accounting systems or files; verifies and corrects accounting and financial information Compiles data, prepares and distributes billing/claim requests, bank deposits, or related reports Maintains files and records May determine client ability to pay, review documents to compute fees or charges due, accept payments, and apply payments to accounts Completes and mails bills, invoices, and other financial documents Operates computers with accounting software to record, store, and analyze information Reviews files and records to respond to requests Additional Notes Note: This position will answer directly to the Billing Manager and Revenue Cycle Management Director #J-18808-Ljbffr Home, Hope and Healing Inc. & Aspire Behavioral Health and Counseling