Business Office Clerk

Appalachian Regional Healthcare, Inc.; Kentucky; On-site; USD 32,000 - 48,000; Full time

Job summary

Appalachian Regional Healthcare, Inc. seeks a Business Office Clerk to maintain current patient accounts receivable, post payments, and handle daily bank deposits with accuracy.

The role involves interviewing patients for payment plans, ensuring proper charge submissions, and collaborating with MPAS departments while following HIPAA policies.

Qualifications

• High School Diploma or GED required.
• Preferably 1 year of billing experience.
• Knowledge of ICD-10 and CPT codes.
• Familiar with UB04 and HCFA forms.

Responsibilities

• Interviews patients to determine payment arrangements and refers unusual cases to supervisor.
• Communicates with ancillary services to confirm charges.
• Posts late charges, payments, and adjustments daily to patient accounts.
• Correct submission of claims to the proper payor in a timely manner.
• Performs cashier duties and prepares daily bank deposits.
• Maintains files and reports of adjustments to accounts receivable.
• Keeps registers for Medicare, Medicaid, private insurance, and other payors.
• Contacts patients/doctors for information to complete billings.
• Answers inquiries on patient accounts and explains insurance benefits within HIPAA guidelines.
• Coordinates with Health Information Administrator for data submission.
• Prepares reports and assists Admissions and other MPAS departments.
• Operates office equipment and mails documents as needed.

Skills

Billing experience

Medical terminology

ICD-10 & CPT codes

Education

High School Diploma or GED

On-the-job training 3–6 months

Tools

Microsoft Word

Microsoft Excel

Job description

Overview

The Business Office Clerk is responsible for maintaining current, timely, and accurate patient accounts receivable to include billing, filing, recording payments and making other adjustments as necessary.

Responsibilities

• Interviews patients, relatives or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor.
• Communicates with ancillary services to determine that appropriate charges have been made.
• Posts late charges, anesthesia/CRNA charges, payments and adjustments daily to proper patient accounts.
• Correct submission of claims to correct payor and address in time frame set by policies and procedures.
• Performs cashier duties, e.g., receipts of payments and issuance of receipts, collection of monies from other areas and prepares daily bank deposit.
• Maintains applicable files and reports of adjustments to accounts receivable.
• Maintains required registers of Medicare, Medicaid, Private Insurance, Workers Compensation, Central Collection Services and others as necessary.
• Contacts patients, doctors, or others for information necessary to properly complete insurance or other type billings, and rebilling in the prescribed time frame.
• Answers inquiries on patient accounts and advises patient on insurance benefits within HIPPA guidelines.
• Clears with Health Information Administrator, before preparing and submitting, all required medical data with billings.
• May assist with preparation of advance deposit memoranda and recommended account write-offs.
• Prepares required reports as necessary.
• Types memos, correspondence, billing forms, etc., and operates postage meter, fax machine, computer terminals and printers.
• May prepare out-going mail.
• May assist Admissions as well as other MPAS departments.
• Performs other related duties as assigned.

Qualifications

Position Physical Requirements

• Must possess physical abilities to endure prolonged sitting, moderate walking and standing, bending, lifting, carrying, pushing and pulling; exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Education, Training, and Experience

• High School Diploma or GED Equivalent; and
• Preferably one year's experience in billing experience and experience in Microsoft word & excel. Health care billing experience preferred.
• Must have knowledge of medical terminology ICD-10 and CPT codes as pertains to billing.
• Must be familiar with UB04 and HCFA competition.
• Must be computer literate in Word and Excel.
• Ability to operate routine office machines, including but not limited to postage meter, typewriter, display terminal and terminal printing, adding machine and fax machine.
• Three (3) to six (6) months on-the-job training as required toattain proficiency of performance of assigned duties and responsibilities.