Business Office Clerk

Overview

The Business Office Clerk is responsible for maintaining current, timely, and accurate patient accounts receivable to include billing, filing, recording payments and making other adjustments as necessary.

Responsibilities

• Interview patients, relatives, or other responsible parties to determine payment arrangements and refer unusual cases to the immediate supervisor.
• Communicate with ancillary services to ensure appropriate charges are accurately applied to patient accounts.
• Post late charges, anesthesia/CRNA charges, payments, and adjustments to the appropriate patient accounts on a daily basis.
• Submit claims accurately to the appropriate payor and address within established policy and procedure timeframes.
• Perform cashier duties, including receipt of payments, issuance of receipts, collection of funds from other departments, and preparation of daily bank deposits.
• Maintain applicable files and records and prepare reports related to accounts receivable adjustments.
• Maintain required registers for Medicare, Medicaid, private insurance, Workers' Compensation, Central Collection Services, and other payors as required.
• Contact patients, physicians, insurance carriers, and other parties to obtain information necessary for accurate billing, insurance claims processing, and timely rebilling.
• Respond to inquiries regarding patient accounts and advise patients regarding insurance benefits in accordance with HIPAA guidelines.
• Coordinate with the Health Information Administrator to obtain required medical documentation prior to preparing and submitting claims.
• Assist with the preparation of advance deposit memoranda and recommended account write-offs as assigned.
• Prepare required reports and documentation as needed.
• Type memos, correspondence, billing forms, and other documents, and operate office equipment including postage meters, fax machines, computer systems, and printers.
• Prepare outgoing mail as assigned.
• Assist the Admissions department and other MPAS departments as needed.
• Perform other related duties as assigned.

Qualifications

Physical Requirements

• Must possess the physical ability to endure prolonged sitting, moderate walking and standing, bending, lifting, carrying, pushing, and pulling.
• Must be able to exert up to twenty (20) pounds of force occasionally, up to ten (10) pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Required Education

• High School Diploma or GED equivalent required.

Preferred Experience

• One (1) year of billing experience preferred.
• Healthcare billing experience preferred.
• Experience using Microsoft Word and Excel preferred.

Required Skills, Knowledge, and Abilities

• Knowledge of medical terminology, ICD-10 codes, and CPT codes as they relate to billing.
• Familiarity with UB-04 and HCFA claim forms.
• Computer proficiency in Microsoft Word and Excel.
• Ability to operate routine office equipment, including postage meters, typewriters, computer terminals, printers, adding machines, and fax machines.

Required Training

• Three (3) to six (6) months of on-the-job training required to attain proficiency in assigned duties and responsibilities.