Billing Clerk

Western-Wayne-Family-Health-Centers-1; Dearborn (MI); On-site; USD 36,000 - 48,000; Full time

Job summary

Western Wayne Family Health Center is seeking a Billing Clerk responsible for collecting, posting and managing account payments. This role submits claims, answers inquiries, and maintains patient billing and statements with strict adherence to HIPAA guidelines.

The ideal candidate has a Billing and Coding program, at least one year in a medical business office focusing on insurance billing and coding, and experience with Epic or Dentrix EMR systems.

Qualifications

• Completion of a Billing and Coding program.
• One year of experience in medical business office with primary focus on insurance billing and coding practices.
• One year of medical coding experience.

Responsibilities

• Prepares and submits clean claims to various insurance companies either electronically or by paper if needed.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares, reviews and sends patient statements.
• Evaluates patient’s financial status and establishes budget payment plans.
• Review and reports status of delinquent accounts.
• Maintains account receivables aging analysis.
• Maintains HIPAA confidentiality and follows regulations.

Skills

Billing & Coding

HIPAA compliance

Customer service

Problem solving

Time management

Education

Billing and Coding program

Tools

Epic

Dentrix

EMR system

Microsoft Office

Job description

Purpose: The Billing Clerk is responsible for collecting, posting and managing account payments. Billers are responsible for activities including submitting claims and following up with insurance companies and a variety of tasks that are assigned.PART I: ESSENTIAL POSITION FUNCTION AND DUTIES1. Prepares and submits clean claims to various insurance companies either electronically or by paper if needed.2. Answers questions from patients, clerical staff and insurance companies.3. Identifies and resolves patient billing complaints.4. Prepares, reviews and sends patient statements5. Evaluates patient’s financial status and establishes budget payment plans.6. Review and reports status of delinquent accounts.7. Responsible for maintaining a current knowledge of coding and procedures as well as being current regarding legislative changes related to billing.8. Corrects all rejected billings and resubmit.9. Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.10. Processes payments from insurance companies.11. Maintains account receivables aging analysis12. Conducts self in accordance with WWFHC employee manual.13. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations14. Identify and perform tasks within Dentrix.15. Performs other functions as determined by the Billing Manager.PART II: CLINIC WIDE RESPONSIBILITIES1. Customer Relations:a. Treats guests, patients, physicians, and other employees with care, courtesy, and respect.b. Responds quickly and appropriately to customer request.c. Looks for and suggests ways to better meet customer needs.d. Answers clinic communications systems promptly and with courtesy and respect.2. Teamwork:a. Works cooperatively within own department and other areas.b. Willingly accepts additional responsibility – tries to make others job easier.c. Responds quickly to request for assistance.d. Required to work closely with patients and associates.e. Interacts with other departments on problem issues.f. Accepts feedback from patients, visitors, clinic employees, physicians and general public.3. Continuous Improvement:a. Continuously looks for and suggests ways to improve.b. Effectively completes assignment to achieve the greatest benefits at acceptable cost.c. Implements improvements as appropriate.d. Demonstrates interest in own growth and development by:(1) Periodically evaluating own performance.(2) Demonstrating an awareness of personal abilities and limitations.(3) Independently seeking means to make improvements.(4) Attends and participates in in-services and continuing education programs(5) Attends departmental meetings.4. Communications:a. Keeps appropriate people informed.b. Speaks and writes clearly, concisely, and appropriately for need.c. Listens carefully.d. Communicates tactfully.e. Understands that all confidentiality and privacy considerations are respected and fostered at work and off duty.5. Self –Management:a. Presents a positive image of Western Wayne Family Health Center at all times.b. Carries out assignments with little need for direction.c. Timeliness.d. Maintains confidentiality.e. Provides proper notification of absence and tardiness.f. Works weekends and shifts when necessary.PART III: EDUCATION, EXPERIENCEEducation:1. Education: Completion of a Billing and Coding program.2. Experience: One (1) year of experience in medical business office with primary focus oninsurance billing and coding practices. One (1) year of medical coding experience.PART IV: KNOWLEDGE, SKILLS AND ABILITIES1. Preferred knowledge of FQHC billing or multi-specialties.2. Preferred knowledge of Epic3. Proficiency using EMR system and Microsoft Office.4. Knowledge of basic billing, coding and account management techniques.5. Skilled with working in a complex work environment.6. Ability to maintain confidentiality at all times and maintain organizationally appropriate relationships.7. Knowledge of organization policies and procedures.8. Knowledge of computer, systems, and medical billing applications.9. Skilled in exercising initiative, appropriate judgment, problem-solving and decision making.10. Skilled in developing and maintaining effective relationships with internal and external customers.