HealthSource Saginaw
  • 22-Aug-2017 to 30-Oct-2017 (EST)
  • Finance
  • Saginaw, MI, USA
  • Starting at $13.34
  • Hourly
  • Casual

Title: Billing Clerk FLSA: Non-Exempt

Department: Patient Accounting

Schedule: Monday - Friday Day Shift - 20 hours per week.

Rate of Pay: Based of experience level starting at $13.34/hour

Position Summary: The Billing Clerk researches and analyzes information for each patient to ensure that accurate and timely billing requirements are met. This position reports to the Patient Accounting Supervisor.

Key Duties and Responsibilities:
• Verifies, monitors, and corrects third party payor documentation received with regards to benefits, eligibility and limitations. Analyzes admitting information, gathers all appropriate data and inputs into computer system. Monitors data necessary for re-billing, including, but not limited to:
o Research rejection problems
o Notifies interdepartmental personnel for additional medical documentation, recognizes medical terminology, diagnosis and computer codes
o Collects and disseminates the data for re-billing
o Reviews Aged A/R and Unbilled Reports monthly and rebills accounts as necessary
• Verifies and reviews the computer generated billing reports.
• Documents number of approved days and authorization numbers mandatory for payment.
• Processes billings for all inpatient, outpatient, and discharged patients.
• Performs billing duties for Long Term Care patients with all insurance carriers.
• Reviews and enters all Long Term Care patient pay amounts.
• Tracks and submits all MDS forms necessary, in the proper order for SNF patients.
• Verifies Medicaid continued stay eligibility for Extended Care patients.
• Updates patient's accounts when insurance coverage changes occur during billing cycle and reports insurance limitations, cancellations, or exhaustion to Patient Accounting Supervisor and applicable departments.
• Analyzes and interprets inpatient and outpatient payment vouchers for payments, pends, and rejections. Resubmits corrected billing within required time limits and notifies the Patient Accounting Supervisor of any trends in rejections, denials, or underpayments.
• Reviews insurance payment vouchers for correct reimbursement amounts. Allowances the difference between billed amount and contractual/negotiated payments received.
• Enters insurance, patient information, and billings, and determines patient's benefits and eligibility.
• Communicates on a daily basis with third party payors, patients and/or responsible parties, and other facility departments in regards to billing problems/inquiries.
• Other duties as assigned.

Education/Experience:
• Minimum of a High school diploma or equivalent.
• Basic knowledge of accounting principles and medical terminology generally acquired through 6 to 12 months of college/business curriculum.
• Minimum of one year prior experience in a hospital, Long Term Care, or physician's office billing department preferred.
• Familiarity with applicable regulatory agency requirements, such as The Joint Commission, Michigan Mental Health Code, Center for Medicare and Medicaid Services, Community Mental Health agencies is preferred.

Abilities:
• Solid working knowledge of computer applications (i.e. Microsoft applications and E-mail) and office equipment (i.e. copier, calculator, and facsimile).
• Exceptional customer service to interact with a wide variety of internal and external customers.
• Operate independently and perform work quickly and accurately.
• Must be able to handle confidential assignments and maintain a good working relationship with coworkers.
• Maintain confidentiality in accordance with HIPAA regulations.
• Communicate effectively orally and in writing.
• Work within specified timeframes and meet deadlines.
• Strong ability to prioritize, organize, and follow through on work assignments.
• Analyze data or information, including knowledge of mathematics.

HealthSource Saginaw
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