Billing Clerk Gnmss

Title: Clinic Financial Services Representative Billing Clerk
Reporting Relationship: Clinic Billing Coordinator/Chief Executive Officer
General Summary of Responsibilities: Performs a wide variety of external and internal customer service support, billing, collection, clerical, and insurance filing/verification duties in support of patients receiving care in the Box Butte General Hospital owned clinic.. Responsible for extraordinary customer service to patients, family members and related departments in the BBGH facility. Duties include provision of patient information, collection of payments, explanations of hospital policies and financial obligations, resolution of insurance questions, and resolution of claims. May act as receptionists for clients or guests and operate switchboards and paging systems. May provide clerical support service and mail operations.
Essential Job Functions:

1. Promptly files patient claims with second and third party payers and assists in follow-up in an efficient manner to ensure maximum reimbursement is received for services provided. Remains up-to-date on insurance, Medicare, Medicaid, Work Comp and motor vehicle claims regulations for billing purposes and follow-up on claims. Assists patients in understanding billing procedures and obtaining full benefits from their coverage.
2. Processes payments from Medicare, Medicaid and other third-party payers. Coordinates with payers to ensure timely recovery of outstanding accounts. Updates the computer system to reflect payments. Performs all associated financial and claim duties in order to ensure completeness and correctness of all claim information facilitating maximum reimbursement.
3. Provides varied clerical and administrative support services to co-workers to assist in all parts of the patient financial services and registration operations of the hospital and clinic.
4. Works closely with outsourcing company regarding patient accounts.
   1. Make notes in patient accounts regarding payment schedules, etc.
   2. Researches accounts on computer program.
   3. Downloads information from computer system to outsourcing computer system regarding payment journals and new accounts rolled over to self-pay.
5. Protects Private Health Information and BBGH business information by observing confidentiality in all matters.
6. Multi-tasks and works in an environment where multiple interruptions occur throughout the day.

Other Job Functions:
1. Enhances professional development by taking steps to remain knowledgeable of industry standards. Willingly participates in educational opportunities offered by hospital for job and personal development. Attends meetings & seminars as assigned. Participates in educational opportunities offered by hospital for job and personal development.
2. Perform related business office responsibilities as assigned by the Office Manager or Practice Administrator.
3. Maintain all documentation and records in accordance with department procedures, federal and state regulations.
4. Attends a minimum of 90% of staff meetings.
5. Supports the organizational values of Safety, Excellence, Compassion, Integrity, Devotion and Teamwork.
6. Performs other related duties as assigned or requested.
Job Qualifications:
Education:
Required: High School graduate or equivalent
Preferred: One or more years of college coursework in business administration, insurance operations and/or medical coding.
Conditional:
Experience:
Required:
Preferred: Previous medical billing experience.
Conditional:
License/Certifications:
Required:
Preferred: CCAT, Certified Clinic Account Technician
Personal Skills:
- Dedication to professional performance not only in the BBGH owned clinics, but on a hospital-wide basis as well.
- Ability to respond quickly and efficiently to workload demands; ability to prioritize and complete tasks within appropriate time frames.
- Must possess good interpersonal and communication skills, to effectively work with all parties the position comes in contact with. Ability to communicate in a pleasant and tactful manner with other employees, patients, family members, visitors and members of the general public.
- Must possess a positive attitude and be willing to represent the department both internally and externally in a positive manner.
- Perform duties with minimum supervision, exhibit innovation and good judgment.
- Excellent computer skills including use of Outlook, Internet Explorer, Word and Excel.
- Ability to follow complex regulations and instructions.
- Ability to learn and cross-train in a variety of positions.
- Support and commit to hospital wide initiatives to support the BBGH Values, Vision, and Mission Statements.
All offers of employment are subject to a Background check and drug screen.
EOE