Billing Support Clerk 3 (Full Time, Monday - Friday 8:00 am - 4:30 pm)
Billing Support Clerk 3 (Full Time, Monday - Friday 8:00 am - 4:30 pm)
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Job Description
Position Overview
Reporting to the Manager of Revenue Cycle the Billing Support Clerk III is responsible for the accurate and timely completion and submission of claims and accounts receivable tracking. Assists with other billing functions such as payment processing eligibility checking claims validation and visit authorization.
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Accurately documents and enters the payor information into EMR detailing coverage co-pays and billing requirements. Enters information in a timely manner.
- Verifies a beneficiarys insurance eligibility for services focus on Medicaid beneficiaries.
- Tracks and works to resolve unbilled claims in Validation Hold Claims Hold and Claims Errors.
- Managing the billing of claims by processing and validating uploaded claims in clearinghouse.
- Completes Hospice billing including keying Hospice elections and terminations into the Medicare system.
- Assists with the collection of private/self pay receivables by monitoring accounts receivables resubmitting bills to overdue accounts and developing payment plans.
- Completes billing for Community Health services.
- Participates with the billing office staff in review of any outstanding claims and/or denials on a regular ongoing basis to ensure accuracy and timeliness of any necessary appeals.
- Performs other specific projects relating to billing data entry and computer operations as required.
- Monitor Denials Rejections and payments for ADRs
- Process Payments by downloading EDI files and posting payments into Electronic Medical Records (EMR)
- Demonstrates flexibility in role by accepting other duties as assigned for which qualified.
- Establishes and maintains positive working relationships with patients/clients payors and Granite VNA employees.
Other Job Functions
- Abide by agency policies and procedures.
- Adheres to the Agencys standard of professional appearance and the Agencys dress code policy.
- Represents the agency in a professional manner in both written and verbal communications.
- Demonstrates excellent communication and customer service skills.
- Understands and demonstrates the agencys safety policies and procedures.
- Adheres to the Agencys standard of professional appearance and the Agencys dress code policy.
- Adhere to the Agencys policy and procedures regarding confidentiality and patient rights.
- Attends in services/conferences required for the position/program annually.
Minimum Qualifications and Requirements
1. Associates degree with 2 to 3 years of office experience in a high pressure deadline-oriented environmentor equivalent combination of education and/or work experience
2. Healthcare billing experience
3. Intermediate to advanced MS Office skills specifically Excel and Word
4. A focused clear thinker well organized level headed solution-oriented personality
5. A Self-starter efficient productive works well independently and as part of a team personality
Employment Type
Full-Time
