Business Office Clerk

Description
BUSINESS OFFICE CLERK
POSITION SUMMARY:
Submits accurate insurance claims and performs timely follow up on unpaid claims to secure prompt and accurate payment for Cherokee Regional Medical Center. Answer patient questions regarding their insurance coverage and payment when needed. Prompt follow up on any claim denials to assure meeting timelines for filing appeals for payment. Assist in Central Registration as needed.
SCHEDULE: Monday - Friday 8am to 4:30pm, No holidays, or weekends.
QUALIFICATIONS:
Education:

• High school diploma or GED
• Preferred: Medical training/education in coding, billing or front office processes.

License/Registration/Certification:

• None Required

Experience:

• Required: Clerical experience
• Preferred: Previous experience in medical billing, coding or front office

Knowledge/Skills/Abilities:

• Knowledge of or the ability to learn healthcare policies and procedures
• Skill in typing and data entry with minimal errors
• Skill in giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times
• Skill in talking to others to convey information effectively
• Skill in using mathematics to solve problems
• Ability to communicate effectively in both oral and written form
• Ability to work collaboratively and build strategic relations with colleagues and coworkers
• Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure
• Ability to operate office machines including adding machines, calculator and personal computer with a general understanding of application software and an understanding of the Internet.
• Ability to learn office and organization-specific software
• Ability to apply general rules to specific problems to produce answers that make sense
• Ability to recognize, analyze and solve a variety of problems
• Ability to take initiative to plan and complete assigned work with a high level of accuracy
• Ability to set priorities and complete assignments on time
• Ability to work effectively and patiently with patients

ESSENTIAL FUNCTIONS:

• Identifies insurance claims with errors and initiates correction of the errors
• Evaluates unpaid insurance claims and initiates follow up of those outstanding claims
• Resolves accounts out of balance
• Assists patients with questions on their accounts
• Research accounts thoroughly before refunding payments to insurance or patients
• Organizes work so as to meet timely filing guidelines with insurances and insurance appeal timelines
• Assists in identifying registration, coding or billing issues that occur repeatedly to help improve processes and payment timelines

Universal Expectations:

• Performs other duties as assigned
• Commits to the daily application of Cherokee Regional's mission, vision, and iCARE core values to serve patients, their families and our community.
• Adheres to timely and regular schedule expectations, ensuring high levels of patient care, adequate staffing and positive employee morale.
• Exercises workplace safety, through use of personal protective equipment and following safety rules, regulations, standards, and laws, ensuring Patient, Visitor and Employee Safety.
• Understands and demonstrates adherence to Cherokee Regional Compliance Programs including the Code of Conduct, Compliance and Departmental policies and Employee Handbook.
• Attends training sessions and department meetings. Completes assigned training in a timely manner. Engages in department goals and action plans.
• Communicates in a way that is empathic and compassionate, dedicated to connecting with people, reducing patient and family anxiety, earning people's trust, engagement, confidence, and partnership.
• Embraces the process of recognizing problems and taking a positive approach toward problem solving, learning from mistakes by correcting them, and approaches quality issues as challenges to improve their product or service.
• Supports the financial health of Cherokee Regional.
• Demonstrates the necessary technical capabilities and skills while actively pursuing the critical knowledge and personal growth to succeed in the role.

Competitive wage and benefits offered include: paid time off, health, dental and vision insurance, life insurance, short term and long term disability, retirement program, tuition assistance, funeral leave, jury duty, flex spending, EAP, health and wellness program.