Assistant Billing Clerk

JOB CLASSIFICATION: Hourly

JOB SUMMARY

The Assistant Billing Clerk will be responsible for the billing cycle associated with the CCM program. This position also assists in monitoring account balances and refers to Director of Accounting accounts that are delinquent and accounts that require approval for adjustments, refunds or write-offs.

RESPONSIBILITIES AND AUTHORITY

1. Substitutes for Front Office Staff as needed in all locations.
2. Creates, submits, and follows up on Chronic Care Management claims.
3. Assist with reviewing patient accounts and working bad debt.
4. Ensures that credit balances are worked per financial policy.
5. Posts payments from paper remittance advices, checks and electronic remittances (ERAs).
6. Audits patient accounts for accuracy and opportunities to maximize reimbursement.
7. Corrects coding and/or incorrect insurance information in E-clinical billing system; re-files claims.
8. Contact patients and updates demographic information in E-clinical for billing purposes as needed.
9. Understands the importance of working collaboratively with the Business Office to ensure that correct demographic, insurance and patient information is accurately entered E-clinical.
10. Processes turn-around documents and other tasks necessary to receive timely payment on claims.
11. Performs write-offs per FCPC financial policies and brings any account problems to the attention of the Director of Accounting.
12. Posts payments timely and accurately and requests refunds on payments that result in credit balances.
13. Provides feedback to the Director of Accounting on accounts that should have monies collected at time of service or referred to Billing Department to establish a payment plan.
14. Requests medical review of denied claims that should have been paid to FCPC and corrects/re-files denials when applicable.
15. Establishes rapport with insurance companies to facilitate payment on denied claims.
16. Stays abreast of third-party reimbursement requirements and current coding guidelines.
17. Assists patients and other staff with billing and insurance questions.
18. Forwards delinquent accounts to Director of Accounting so that account will be cycled into collection letters.
19. Follows all necessary HIPAA regulations to protect patient privacy and patient information.
20. Performs other duties as assigned by Director of Accounting.

QUALIFICATIONS, KNOWLEDGE, SKILLS

High School Graduate.

Some college courses highly desirable.

Coding certification highly desirable.

EClinicalWorks software experience highly desirable.

TYPICAL PHYSICAL DEMANDS AND WORKING CONDITIONS

Work is performed in a typical medical office setting. Requires manual dexterity to operate keyboard and other office equipment. Sitting at computer terminal for long periods of time. Requires corrected vision and hearing to normal range. Requires occasional overtime to complete tasks for accurate Month End Reports.

INFECTIOUS DISEASE EXPOSURE LEVEL: 1

JOB RELATIONSHIPS

Supervised By: Director of Accounting

Employees Supervised: None