Billing Insurance Collections Clerk

Job Description

Job Description

Description : Job title

Billing / Insurance / Collections Clerk, Business Office

Reports to

Business Office Manager

FLSA Status

Non-Exempt

Position Summary

The Billing / Insurance / Collections Clerk is responsible for all aspects of electronic claims submission and retrieval of the same. Being able to work with the various insurance providers, self-pay, and follow up on claim status. Use of the telephone and computer system for processing of payments and collections. Accounting and data skills for recording and collecting correct reimbursement for Cherry County Hospital and Clinic.

Duties and Responsibilities

Responsibilities include but are not limited to the following :

• Answering the phone
• Advising the patient of the privacy laws upon checking in to the clinic
• Recording personal payments, Medicare payments, Medicaid payments, and insurance payments
• Filing of Nebraska and South Dakota Medicaid forms
• Making collection calls on past due accounts
• Process all aspects of electronic claims submission and retrieval of the same
• Process manual claims to include welfare, all PPO's, maternity claims, denials, etc.
• Process all types of disability claims
• Process all attending physicians’ statements for health and life insurances
• Process all insurance correspondence and forms
• Assist patients in completion of insurance forms, payor, and charity care applications and / or questions of same
• Follow up with insurance companies when necessary, ensuring that claims are processed
• Maintain files in accordance with insurance correspondence
• Maintain signatures on file when necessary
• Maintain copies of all insurance cards, including insurance companies that we participate with, ensuring correct implementation in the computer
• Research all information needed to complete billing processes
• Process and distribute monthly billing statements to patients
• Follow up on all unpaid accounts
• Assist with coding and error resolution
• Work with patients in securing prepayment or monthly payment agreements
• Process preliminary work on all maternity cases to include verifying coverage with insurance company, set up payment plans, file insurance, etc.
• Identify delinquent accounts, aging period, and payment sources
• Review each account as necessary, making appropriate contacts if needed
• Prepare and process information for collection agency
• Follow and report status of delinquent accounts
• Identify, work with patients, and resolve any billing complaints and / or errors
• Process requests for transferred records, physician and patient
• Ready corresponding superbill, making new accounts when necessary
• Process all payments from Medicare, Welfare, Blue Cross / Blue Shield, PHS and PPO's
• Answers incoming phone calls as needed
• Close and balance at end of day and end of month
• Processing of various consent forms
• Processing of HCFA 1500 forms
• Processing of explanation of benefits form from insurance companies
• Coding CPT and ICD-9
• Knowledge of computer system back up and shut down
• Processing of monthly statements
• Able to attend educational seminars to keep up to date with industry practices
• Ensures the confidentiality of patients’ medical, personal, and financial records is maintained
• Knowledgeable of and committed to practicing Corporate Compliance policies and procedures
• Complies with Cherry County Hospital personnel policies
• Performs other duties as assigned by supervisor

Skills and Abilities Required

Physical Demands and Working Conditions

Direct reports

This position has no direct reports.

We would also like to highlight our Comprehensive Benefit Package, which includes :

If you're ready to make a difference in patients' lives and join a supportive team environment, apply now to become our next Chronic Care Coordinator at Cherry County Hospital and Clinic!

Cherry County Hospital and Clinic is an equal opportunity employer. We value diversity and inclusion in our workplace.

Requirements :

Minimum Job Requirements