Business Office Clerk

Appalachian Regional Healthcare (ARH); Kentucky; On-site; USD 32,000 - 46,000; Full time

Job summary

Appalachian Regional Healthcare (ARH) is seeking a Business Office Clerk to maintain patient accounts receivable, including billing, recording payments, and making adjustments. The role supports accurate billing and timely processing within HIPAA guidelines.

Responsibilities include determining payment arrangements with patients, posting charges and payments, and assisting with reports and office duties as needed.

Qualifications

• Must have knowledge of medical terminology ICD-10 and CPT codes as pertains to billing.
• Familiar with UB04 and HCFA forms.
• Proficient in Word and Excel.
• Able to operate routine office machines (postage meter, fax, etc.).
• Billing experience preferred.

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 HIPAA 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.

Skills

Medical terminology

ICD-10

CPT codes

UB-04

HCFA

Word

Excel

Office equipment

Education

High School Diploma or GED Equivalent

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 HIPAA 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

Education

• High School Diploma or GED Equivalent.

Experience

• Preferably one year's experience in billing experience and experience in Microsoft Word & Excel.
• Health care billing experience preferred.
• Three (3) to six (6) months on-the-job training as required to attain proficiency of performance of assigned duties and responsibilities.

Required Skills, Knowledge & Abilities

• 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.

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.