Clerk Financial

Bleckley Memorial Hospital; Cochran (GA); On-site; USD 35,000 - 52,000; Full time

Job summary

Bleckley Memorial Hospital in Cochran, GA is seeking a claims processor to support patients and staff by providing timely assistance and information regarding accounts and claims. You will review and submit insurance claims, work denials, and follow up on payment issues to help ensure clean claims are paid promptly.

The ideal candidate has a high school diploma or GED (associate degree preferred), prior experience with claim submission, and familiarity with EMR/EHR systems.

Qualifications

• High school diploma or GED required; associates degree preferred.
• Experience with insurance claims and billing processes.
• Strong attention to detail and customer service skills.
• Familiarity with EMR/EHR systems.

Responsibilities

• Review and process daily claims for accuracy and submission.
• Submit insurance claims electronically and/or on paper.
• Work denial management to resolve payment issues.
• Follow up on delayed payments with payers.
• Address patient accounts and arrange payment plans.
• Maintain HIPAA compliance and data integrity.

Skills

Telephone etiquette

EMR/EHR experience

Customer service

Insurance payer requirements

HIPAA compliance

Attention to detail

Claim submission process

Quality focus

Education

High school diploma or GED

Associate degree preferred

Job description

Serves patients and staff by providing timely assistance and information regarding accounts and claims.

Job Duties:

• Responsible for daily reviewing and working claims edits and reports
• Review claims for accuracy and readiness for submission
• Submitting insurance claims to various payers electronically and/or paper
• Working on claims submission system to release clean claims to payers
• Review and work denial management system to resolve payment issues
• Follow-up on delayed claim payments by calling insurance companies
• Working credit balance report to resolve overpayments
• Dealing with patients and family members accounts and making payment arrangements

Education:

High school diploma or GED required. Associates degree preferred.

Training/Experience:

Previous Experience is Highly Desired.

Skills/Qualifications:

• Telephone etiquette
• EMR/EHR Experience
• Customer Service
• Insurance payer requirements
• HIPPA compliance
• Attention to Detail
• Knowledge of Claim Submission Process
• Quality Focus