Job Description

Description Position Overview A successful Billing Clerk must be passionate about healthcare and want to make a difference in the lives of others while acting as a mission-driven catalyst to help Livingston Community Health deliver the best quality of care and excellent service to our patients and their families. The Billing Clerk reports to the Billing Manager and Revenue Cycle Director and is responsible for meeting or exceeding the requirements and duties required of the Billing Department. The Billing Clerk will be responsible for making sure that all patients and staff are acknowledged, greeted, and treated in a manner that demonstrates the high level of caring, trust, and respect that is expected of all Livingston Community Health staff. Essential Functions, Duties, and Responsibilities Responsible for retrieving missing information, and accurately preparing and billing for assigned charges daily. Prepares and submits claims to various insurance companies. Responsible for completing the billing process and sending out all accounts receivable claims. Research any paid claims not consistent with original claim, make any corrections and appropriate adjustment documentation. Responsible for following up on unpaid, denied or rejected claims, Process denials, correcting, rebilling, or processing adjustments as needed. Actively researches denials and re-files denials. Ensures denials do not age more than 30 days. Research denials by going back to the Internet and rechecking the data; date of birth and social security number. Refiles UB92 claims daily. Performs various collection actions including contacting patients by phone. Post payments to the client's accounts and ensure appropriate allocation. Must have strong attention to detail and organizational skills and ability to multi- task. Answers questions from patients, clerical staff, and insurance companies. Identifies and resolves patient billing complaints. Prepares, reviews, and sends patient statements. Evaluates patient's financial status and establishes budget payment plans. Follows and reports status of delinquent accounts. Display a caring and responsive attitude and conduct all activities with respect for the patient and staff. Guidelines related to HIPPA, medical coding, billing behaviors and practices. Billing Clerk will be held accountable for meeting all requirements of the job duties as listed in this job description. Other duties and projects as assigned. Education, Knowledge, Skills, and Abilities Education High School Diploma or GED required. Knowledge, Skills, and Abilities Must have 2-5 years' experience in billing or similar type of work. Knowledge of insurance collections or claims follow up preferred. Knowledge of electronic billing system. Working knowledge of MS Word and Excel. Handle money in a safe and accurate manner. Must be familiar with ICD-10 & CPT Codes. Possess excellent customer service skills. Perform basic mathematical functions. Good writing skills. Foster departmental and interdepartmental relationships. Quickly think and assess situations correctly. Provide training to staff as needed. Livingston Community Health

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