Claims Processing Clerk

Magnolia Regional Health Center; Corinth (MS); On-site; USD 36,000 - 52,000; Full time

Job summary

Magnolia Regional Health Center in Corinth, MS is seeking a full-time Revenue Cycle/Patient Accounts professional to input new claims, process payments, and conduct billing research. The role involves responding to inquiries from patients and insurers and administering denials or returns per policy.

Responsibilities include thorough EHR documentation, consistent follow-up on accounts, and collaboration with Revenue Cycle staff to meet productivity goals.

Qualifications

• High School Diploma or equivalent required.
• Some college or business courses preferred.
• Experience in a hospital or medical setting is preferred.
• Experience with computers is preferred.
• English required; multilingual capabilities enhance performance.

Responsibilities

• Input new claims and process payments and returns according to policy.
• Conduct billing research and respond to inquiries from patients and insurers.
• Follow up on accounts to ensure timely and accurate payments.
• Document all actions in the EHR and maintain productivity standards.
• Coordinate with Revenue Cycle staff and director as needed.

Skills

Customer service

Communication

Multilingual capabilities

Education

High School Diploma or equivalent

Some college or business courses

Tools

EHR system

Job description

Job Summary

Receives and inputs new claims, processes payments, conducts billing research, and responds to telephone inquiries. Evaluates claims and administers payment, denials, or returns claims according to policy provisions and organizational guidelines.

Patient Accounts

Full Time

Job Summary

Receives and inputs new claims, processes payments, conducts billing research, and responds to telephone inquiries. Evaluates claims and administers payment, denials, or returns claims according to policy provisions and organizational guidelines.

Job Responsibilities

• Responsible for assisting patients and insurances with any questions concerning the patient's accounts until the conclusion. Conducts the appropriate notations in the system of all services completed while assisting patients or insurers.
• Completes all follow up with patient's accounts in a timely and accurate manner for all Revenue Cycle functions. Follows through with any and all communication with insurance companies or patients
• Ensures all accounts are followed up on and are documented thoroughly in the EHR system
• Ensures productivity guidelines are met daily as set forth by management
• Follows up with patients and payers to achieve prompt and accurate payments
• Assists patients and payers as needed in all areas of the Revenue Cycle.
• Read and work all remits and denials in the appropriate and timely manner.
• Works with all staff involved in the Revenue Cycle to assist with any job duties directed by the Revenue Cycle Director.
• All other responsibilities deemed by the Revenue Cycle Director

Customer Service

• Assists in promoting customer service and creating a positive patient experience.
• Adheres to performance standards of behavior.

Qualifications

Education:

High School Diploma or equivalent required. Some college or business courses preferred.

Experience

Experience in a hospital or medical setting is preferred. Experience with computers is preferred.

Language/Communication Skills

English required. Multilingual capabilities enhance the ability to perform this job. Must have the ability to speak effectively and professionally to all staff, management, and all outside individuals at all levels from elementary to professional.