Billing Clerk II (Warren Clinic)

Saint Francis Health System; Tulsa (OK); On-site; USD 32,000 - 52,000; Full time

Job summary

Saint Francis Health System in Tulsa, OK is seeking a Full Time Billing Clerk to perform clerical billing duties and ensure prompt, maximized payment for patient accounts. You will liaison between patient accounts, physician offices, and third-party payers, following SFHS guidelines to resolve unpaid accounts.

The role requires a High School Diploma or GED and 3–4 years related experience, with solid typing, ten-key, and CPT/ICD9 coding knowledge.

Qualifications

• High school diploma or GED required.
• 3–4 years of related experience.
• Basic computer skills and strong communication abilities.
• Knowledge of CPT and ICD-9 coding.

Responsibilities

• Monitor and update patient accounts to maximize reimbursement.
• Answer patient and insurance inquiries and resolve questions.
• Serve as liaison between patient accounts, physician offices, insurers, and third-party payers.
• Review and adjust accounts per policies to address deceased patients, charity care, or small balances.
• Review electronic claims and postings, research rejections and ensure proper reimbursements.

Skills

Ten-key by touch

Typing

Basic computer skills

Communication skills

Grammar

CPT/ICD9 knowledge

Education

High School Diploma or GED

Job description

Warren Clinic - TBJ Tulsa Main

Full time

JR32040

Current Saint Francis Employees - Please click HERE (https://wd115.myworkday.com/saintfrancis/d/task/2998$46522.htmld) to login and apply.

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.