Senior Billing Clerk
Alice Hyde Medical CenterAbout the role
The Senior Billing Clerk resolves patient accounts by performing claims processing, denial management and follow-up activities to effectively collect balances due- maximizing reimbursement while maintaining favorable public relations. Part of a payor team, this position is assigned a specific portion of the accounts receivable and is held accountable for the activity within the assigned A/R.
Specific responsibilities include:
Submitting of facility related medical claims to insurance and third party payers
Communicating effectively with coworkers, Health Information Services, Information Technology and charging departments to resolve charging and coding related queries
Reviewing, preparing and submitting electronic and paper claims for accuracy and completeness, obtaining and updating missing information to clear all edits before release
Monitoring and following up on unpaid claims until resolved; may include calls, writing appeals, providing records etc.
Researching and escalating denied, disputed, improper claim remit trends to management where appropriate
Analyzing financial transactions to answer patient queries
Completing assigned payer audits in timely manner
Job Requirements
High School graduate or equivalent required.
Computer skills required.
A minimum of two (2) years of healthcare insurance billing training and experience in a health-related facility preferred.
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