About the position

Responsible for insurance verification, entering all pertinent Patient information into the system, collecting and posting payments to the practice management system under the supervision of the Billing Supervisor. Will perform all duties which involve interaction with a patient in a manner which ensures the patient has a pleasant and satisfactory experience. All interactions with the patients will be in adherence to the PCMH principles, policies, and procedures. Will be required to work overtime when needed to cover all night time clinics and weekend clinics. Working hours are the hours designated by the clinic. Billing Clerk may be assigned to assist or provide coverage in other departments based on operational needs.

Responsibilities

• Accurately enters data and maintains current computer files of all patient demographics, insurance and account information.
• Accurately enters payments received on accounts, applying payments to existing charges and appropriately ensures account balances are paid currently and correctly through third party payers as well as patient payments.
• Reconciles and balances daily Deposit Slip Report.
• Verifies insurance benefits on new and established patients, documenting coverage, deductible and contractual conditions for billing and collection purposes.
• Scans in insurance cards on every visit.
• At every visit verifies coverage through TMHP for all Indigent and Sliding Fee Scale patients.
• Sets tickets to correct payer source.
• Communicates with patients and family members in both English and Spanish regarding projected charges, office polices, collection procedures, all available programs (i.e. Presumptive Title V, BCCS, DSHS and HTW etc.) as necessary.
• Closely monitors accounts with pending Medicaid or other funding sources.
• Reviews aging patient tickets and makes collection efforts and documents accordingly.
• Reviews credit balance tickets assigned and refers tickets to Supervisor if adjustments and or refund requests are needed.
• Assists with any statistical or special reporting required by Supervisor or Administration.
• Obtains required signatures on all consent forms.
• Ensures all patients are given a receipt for payment.
• Provides and documents payment arrangements for outstanding balances and follows up on payment arrangements that have been made.
• Will be crossed trained in all registration all billing departments i.e. Internal Medicine, Pediatrics and WHC duties which ever applies.
• Will attend in-service training and SCF educational programs.
• Responsible for their own safety as well as the safety of others.

Requirements

• Knowledge of PCMH Model
• Knowledge of SCF polices and procedures
• Knowledge of medical billing practices
• Knowledge of ICD-10 coding
• Knowledge in providing effective customer service on a daily basis
• Knowledge of computer software (Microsoft Word, Excel, etc.)
• Knowledge in the use of electronic mail
• Skilled in the used of a computer
• Ability of read, write and spell correctly
• Ability to maintain and effective and professional working relationship with the public and co-workers
• Ability to bend, stretch, stoop, stand, sit and lift up to 20 lbs
• Ability to operate a keyboard, telephone, and other office equipment
• Ability to to examine documents for accuracy and completeness
• Ability to prepare records in accordance to detailed instructions
• Ability to communicate fluently in English and Spanish
• Ability to maintain a positive work environment
• Ability to work in a fast paced environment
• Ability to maintain a flexible work schedule
• Ability to maintain client and office confidentiality
• Ability to work extended hours or other variations of the usual shift or duty station to ensure adequate care to patients and to maintain service to the community.
• High school diploma or GED.
• Must be bilingual English/Spanish.
• Graduate from MOS or Billing and Coding Program.