We are seeking a Full-Time Hospital Billing Clerk.

What are we looking for?

• Collects Medical reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; preparing reports.

Billing Clerk Medical Job Duties:

• Hospital billers gathers medical billing information by reviewing census and receiving information from providers and hospital nursing staff.
• Office services are reviewed every morning for the charges previously entered the day before by the physician or nursing staff.  Each staff member is responsible for certain providers’ billing.
• Confirms the appropriate diagnosis from the progress note is on the Final Report of all testing before the claims are transmitted.  If there is a discrepancy, it is reviewed with the physician and clinic staff and corrected.
• Claims are to be transmitted daily to the appropriate insurance carriers.  A review is done to confirm that the claims were sent or if there is automatic rejection due to scrub errors.
• Works rejected claims transmitted that did not clear the scrubber daily.  Contact supervisor or Care Cloud if there is a rejection by the payer that you do not understand
• No claim should remain in the bucket for longer than 1 week.
• Resolves disputed claims by gathering, verifying, and providing additional information; following-up on previously appealed claims.
• Prepares monthly reports of missing charges or incorrectly entered charges.  Corrections are made if necessary or reports are taken to the physician and clinic staff.
• Updates job knowledge by participating in educational opportunities; reading professional publications; keeping current on medical billing and reimbursement procedures.
• Accomplishes billing department and hospital mission by completing related results as needed.
• Handle information about patient treatment, diagnosis, and related procedures by following HIPAA guidelines.
• Serves and protects the medical and hospital community by adhering to professional standards, hospital and office policies and procedures, federal, state, and local requirements, and JCAHO standards.

Billing Clerk Skills and Qualifications:

• Data Entry Skills, Knowledge of HCPCS, CPT codes and ICD10 coding, Analyzing Information , Quality Focus, Productivity, Time Management, Organization, Professionalism, Attention to Detail, Financial Skills, Documentation Skills, Reporting Skills.