Billing Clerk-FT

Three Crosses Regional Hospital; Las Cruces (NM); On-site; USD 36,000 - 54,000; Full time

Job summary

Three Crosses Regional Hospital seeks a Billing Clerk to submit claims, monitor balances, collect patient information and payments, and generate invoices. You will follow up on past due accounts and ensure accuracy in patient balances while supporting other departments.

This role requires knowledge of CPT codes, EMR systems, and payer requirements, with strong communication and problem-solving skills. A High School Diploma or GED and 1+ year of medical billing experience are required.

Qualifications

• High School Diploma or GED is required.
• Minimum 1 year of medical billing experience is required.
• Must meet all Employee Health requirements.

Responsibilities

• Submit claims and monitor account balances.
• Collect patient information and payments.
• Generate and send invoices and follow up on past due accounts.
• Ensure accurate accounting of patient balances.
• Assist other departments as needed.
• Adhere to clinic, state, and federal regulations.
• Review claims for accuracy before submission.
• Answer incoming billing calls and resolve issues.
• Audit EMR system to ensure documents are finalized.
• Train staff on EMR processes as required.
• Maintain knowledge of CPT codes and payer requirements.

Skills

Critical thinking

Time management

Problem solving

Verbal communication

Written communication

CPT codes

Carrier billing understanding

EMR knowledge

Education

High School Diploma or GED

Tools

EMR System

Microsoft Office

Job description

The Billing Clerk will submit claims, monitor account balances, collect patient information and payments. Must maintain accurate accounting of patient account balances, generate, and send out invoices, follow up on past due accounts in accordance with clinic, state, and federal regulation. Will assist other departments as needed.

The incumbent will carry-out duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Three Crosses Regional Hospital, and fully supports the mission, vision, and values of Three Crosses Regional Hospital. The incumbent will have knowledge of health care systems, and have demonstrated ability to interact, relate to, work with, and support the activities of a diverse workforce.

Primary Responsibilities

• Ensure compliance of billing with Managed Care Organizations and Third Party Billing
• Investigate billing issues as they arise and resolve them to ensure accurate and timely billing
• Answer incoming calls related to billing
• Ensure the timely and accurate billing of assigned customer accounts
• Review claims for accuracy before submission.
• Reports discrepancies to supervisor.
• Audit EMR System to ensure that all documents are finalized.
• Primary Point of contact for the agency regarding any billing questions, barriers, or updates.
• Training staff on EMR Process
• Prepare bills and invoices for medical services and services received.
• Collect and maintain patient insurance and financial information
• Monitors debts and unresolved patient accounts by filing claims and other means as necessary
• Attend meetings as required.
• Other duties as assigned.

Knowledge, Skills and Abilities

• Demonstrate critical thinking, time management and problem-solving skills
• Excellent verbal and written communication
• Working knowledge of CPT codes
• Working with and understanding carriers that both in and out of network
• Working knowledge of commercial insurance carrier billing requirements
• Knowledgeable in Microsoft Office
• Knowledge of Electronic Health Record System

Education and Experience:

• Required: High School Diploma or GED
• Required: 1+ years medical billing experience
• Required Meet all Employee Health Requirement