Billing Clerk II (Warren Clinic)

Warren Clinic, Inc.; Tulsa (OK); On-site; USD 32,000 - 45,000; Full time

Job summary

Warren Clinic, Inc. in Tulsa, OK is seeking a Full Time Billing Specialist to handle clerical billing tasks and ensure prompt, maximized payments for patient accounts.

You will act as a liaison between Patient Account Services, physician offices, patients and third party carriers to resolve issues, working closely with the Team Leader to meet department goals.

Qualifications

• High School Diploma or GED required.
• 3-4 years related billing experience.
• Familiar with CPT and ICD-9 codes.

Responsibilities

• According to established protocols, monitor, research and update patient accounts to reconcile and maximize reimbursement.
• Answer patient, insurance calls and correspondence resolving questions in a time frame that meets or exceeds MGMA standards.
• Acts as liaison between patient accounts and physician offices, insurance carriers and other third party payers to assist with questions and resolve unpaid accounts.
• Using SFHS guidelines adjust accounts based upon the patient/account status (deceased patient, small balance, charity, etc.)
• Review past due self pay balances for assignment to outside collection sources.
• Monitors daily electronic claims transmission, researches and resolves electronic claim rejections, understands and performs charge corrections, understand the rejection code subsystem and ensures accurate postings of rejections codes, reviews insurance reimbursement to verify compliance with fee schedules, appeal underpayments using correct venue per third party carriers, and review insurance payments for correct reimbursement.
• Performs all billing related duties as needed.

Skills

Ten key by touch

Typing/keyboard skills

Basic computer knowledge

Good communication skills

Good grammar skills

Business environment understanding

Knowledge of CPT and ICD-9 codes

Education

High School Diploma or GED

Job description

Full Time Job Summary

Performs any clerical billing responsibility assigned to ensure that patient accounts are processed in a manner that results in prompt and maximized payment. Acts as a liaison between Patient Account Services, physician offices, patients and third party carriers to identify and resolve any related issues. Works closely with the Team Leader to ensure department goals are met.

Minimum Education

High School Diploma or GED.

Licensure, Registration and/or Certification

None.

Work Experience

3 - 4 years related experience.

Knowledge, Skills and Abilities

• Ability to utilize a ten key by touch and typing/keyboarding skills.
• Basic computer knowledge and skills.
• Good communication skills - written and verbal.
• Good grammar skills.
• Basic understanding of a professional business environment.
• Basic knowledge of CPT and ICD9 codes.

Essential Functions and Responsibilities

• According to established protocols, monitor, research and update patient accounts to reconcile and maximize reimbursement.
• Answer patient, insurance calls and correspondence resolving questions in a time frame that meets or exceeds MGMA standards.
• Acts as liaison between patient accounts and physician offices, insurance carriers and other third party payers to assist with questions and resolve unpaid accounts.
• Using SFHS guidelines adjust accounts based upon the patient/account status (deceased patient, small balance, charity, etc.)
• Review past due self pay balances for assignment to outside collection sources.
• Monitors daily electronic claims transmission, researches and resolves electronic claim rejections, understands and performs charge corrections, understand the rejection code subsystem and ensures accurate postings of rejections codes, reviews insurance reimbursement to verify compliance with fee schedules, appeal underpayments using correct venue per third party carriers, and review insurance payments for correct reimbursement.
• Performs all billing related duties as needed.

Decision Making

Independent judgment in making minor decisions where alternatives are limited and standard policies/protocols have been established.

Working Relationships

• Works directly with patients and/or customers.
• Works with internal customers via telephone or face to face interaction.
• Works with external customers via telephone or face to face interaction.
• Works with other healthcare professionals and staff.

Special Job Dimensions

None.

Supplemental Information

This document generally describes the essential functions of the job and the physical demands required to perform the job.

This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

Orthopedics - TBJ Admin - Warren Clinic

Location: Tulsa, Oklahoma 74146

EOE Protected Veterans/Disability

Saint Francis is a Catholic, not-for-profit Health system based in Tulsa, Oklahoma. We are the largest private employer in Eastern Oklahoma with over 12,000 employees, including 1,000 physicians. The health system is anchored by the 1,112-bed Saint Francis Hospital, the largest hospital in Oklahoma and the 11th largest in the nation. Our system also includes hospitals in south Tulsa, Muskogee and Vinita, as well as 110 Warren Clinic locations from Monkey Island to McAlester, northeastern Oklahoma's only children's hospital, a level IV neonatal intensive care unit, a 168-bed heart hospital, and Tulsa's leading trauma and emergency center.