Billing Clerk - Visalia, United States - Family HealthCare Network

Description

Job Description

Description of Primary Responsibilities

1. Performs the billing function at FHCN.
   • Prepares and submits primary and secondary claims for services rendered according to established policies and procedures.
   • Reviews claim forms for completion of patient information, CPT and ICD codes, and provider information.
   • Computes fees and collects payments for services rendered.
   • Collects and posts payments to accounts receivable system.
   • Follows-up on correspondence from and researches outstanding aging accounts for third party payers.
   • Corrects and rebills third party medical or dental claim denials and rejected claims.
   • Performs income eligibility analysis for patients for different programs if necessary.
   • Researches and corrects any assigned claim statuses in the practice management system.
   • Processes any necessary patient refunds according to FHCN policy.
   • Creates and reviews monthly patient statements.
   • Answers any patient billing inquiries by researching the requests.
2. Tracks and processes delinquent patient accounts.
   • Mails payment request and collection letters.
   • Processes accounts forwarded to the collection agency and reports collection payments.
   • Manages the collection accounts system.
3. Performs other duties as assigned.

Description of Primary Attributes

Professional & Technical Knowledge:

1. Must possess a high school diploma or General Educational Development (GED) certificate.
2. Job duties require specific knowledge and training in finance and billing, typically acquired during completion of a certificate or license program in billing procedures or learned on the job through a series of training sessions.

Technical Skills:

1. Ability to prepare basic correspondence and simple reports in Microsoft Word.
2. Ability to use Microsoft Excel to create tables and simple displays of information.
3. Ability to create basic presentations in Microsoft PowerPoint.

Licenses & Certifications: None required.

Communications Skills:

1. Job duties require the employee to effectively communicate routine or non-technical information to co-workers and others.
2. Effectively communicates written information (including electronic correspondence) and verbal presentations.

Physical Demands: The physical demands described here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this position, the employee is regularly required to sit and use repetitive hand movement to type and grasp. The employee is frequently required to stand and walk; and occasionally lift and/or move up to 20 pounds.

Pay Scale:

Min Hourly Rate: $21.00

Max Hourly Rate: $28.60