Clerk, Billing

Memorial Physician Practices; Somerset (KY); On-site; USD 30,000 - 50,000; Full time

Job summary

An established healthcare provider seeks a detail-oriented Billing Clerk to manage the billing process and ensure timely claims submission. This role offers the opportunity to work in a supportive environment where your contributions are valued. As a Billing Clerk, you will handle claims for Medicare, Medicaid, and other payers, requiring strong analytical skills and the ability to work independently. Join a team committed to excellence in patient care and enjoy benefits such as health insurance, paid time off, and professional development opportunities. If you thrive in a fast-paced environment and are passionate about making a difference, this position is for you.

Benefits

Health Insurance

401K Benefits

Paid Time Off

Tuition Reimbursement

Employee Assistance Program

Qualifications

• Strong computer and keyboarding skills required.
• Previous insurance billing experience preferred.

Responsibilities

• Manage billing process and prepare accurate bills for payers.
• Follow up on rejected and unpaid claims effectively.
• Maintain confidentiality and adhere to HIPAA regulations.

Skills

Billing Management

Critical Thinking

Computer Skills

Attention to Detail

Education

High School Diploma

College Coursework

Job description

Billing Clerk, Lake Cumberland Regional Hospital LLC PP Centralized Business Office
Job Type: PRN

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Lake Cumberland Regional Hospital is a modern, state-of-the-art 295-bed acute care facility, offering an advanced neurosurgery program with Spine Center accreditation amongst other specialty services.

Where We Are:

The City of Somerset blends southern hospitality with abundant recreational opportunities including a 65,000-acre lake with 1,200 miles of shoreline. Somerset is host to nationally recognized, high quality performing and visual arts, concerts and other special events to the community.

Why Choose Us:

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off / Extended Illness Bank package for full-time employees
• Employee Assistance Program – mental, physical, and financial wellness assistance
• Tuition Reimbursement/Assistance for qualified applicants
• Professional Development and Growth Opportunities
• And much more…
  

Position Summary:

The Billing Clerk is a non-exempt position that reports to the Director of the Business Office. This role is responsible for managing the billing process, which includes preparing and transmitting accurate and complete bills to Medicare, Medicaid, and other third-party payers in a timely manner. The position requires critical thinking, decisive judgment, and the ability to work independently with minimal supervision. The Billing Clerk must be able to perform well in a stressful environment, take appropriate action, and adhere to established policies, procedures, objectives, safety standards, and confidentiality guidelines.
Key responsibilities include processing 100% of accepted claims within one working day of receipt, editing claims to completion while utilizing all available resources to meet established guidelines, and entering documentation immediately upon receipt to maintain current and accurate account information. The Billing Clerk is also responsible for updating billing systems with demographic and/or insurance revisions within one working day of receipt, submitting claims that require additional information to the manager, and initiating follow-up with third-party payers no later than 15 days from the final bill. Additionally, the Billing Clerk must ensure that all accounts are worked to completion and adjudicated within 90 days of billing.
The role involves actively following up on rejected and unpaid claims, obtaining and supplying payers with necessary documentation to expedite payment, and maintaining knowledge of relevant coding standards and payer guidelines for UB94 and HCFA 1500 claims. The Billing Clerk reviews accounts for accuracy, ensures correct patient balances and insurance portions are due, and guarantees that correct statements are mailed. The role also requires maintaining knowledge of payer contracts and reimbursement methodologies to ensure proper payment and correct patient portion due.
Further responsibilities include reviewing and following up on charges credited or debited on patient accounts, monitoring denied, rejected, or pending claims via remittance advice, and ensuring reliable cash controls for timely and accurate cash applications to patient accounts. The Billing Clerk is also responsible for reconciling daily cash and adjustments postings, reviewing credit balances, and resolving issues within five working days. Additionally, they assist auditors, report any confidentiality breaches, and ensure that all correspondence and follow-up actions are completed in a timely manner.
The Billing Clerk must demonstrate professional and courteous telephone etiquette, interact with the Patient Account Manager and Benefits Advisor as needed, and maintain accurate business office records. The position requires maintaining a clean claims submission rate of 80% or better and adhering to confidentiality standards in accordance with HIPAA regulations. Other duties may be assigned based on department needs, and the Billing Clerk must be prepared to assist in cross-training efforts and complete additional tasks as requested.
To be successful in this role, the Billing Clerk must possess strong computer and keyboarding skills, the ability to work independently, and maintain a high level of professionalism in all interactions. The position requires flexibility and the ability to adapt to evolving department and hospital requirements.

Minimum Qualifications:

• High School Diploma or equivalent
• Two years of college coursework completed or equivalent work experience
• Previous insurance billing experience or analytical experience determining priorities, where options are limited.
  

EEOC Statement:

Lake Cumberland Regional Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.