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Temporary Billing Clerk (Data Entry)

Company: Su Clinica
Location: Brownsville
Posted on: January 11, 2020

Job Description:

OverviewThis position is vital in the health care delivery system. This position has a vital function with the fiscal aspect of the Clinic Adhere to policies and procedures in conducting all clinical charges, payments, adjustments for proper billing and collections. --Responsible for the daily billing and coding of office visits, office, hospital and ancillary procedures. Great customer service and telephone etiquette, computer knowledge, professional appearance, attention to detail, able to multitask and work in a fast paced environment. Will cross-train in front desk/registration functions. May travel to other clinic sites to assist with coverage. Functions as a member of a collaborative health care team to create and maintain a patient centered medical home.ResponsibilitiesPatient communication: Will greet and welcome the patient face to face or by telephone in a pleasant and culturally and linguistically manner. Assure all patient questions are answered in a positive and cordial manner regarding their billing and or collection of fees. Communicates patients problem/complaint to the supervisor or designee. Communicates with patients and family members in both English and Spanish regarding charges, collections, or any other patient questions. --Performs billing/collection functions:---- Bills and codes, as per policies and procedures of each specific program or grant. Verifies and or assigns every diagnosis, treatment and procedures that were provided to the patient: as documented in the EMR by the provider. Accurately enters daily office and/or hospital charges into our database using medical coding protocol to produce a statement or a claim for payment. Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities; with ICD 10 or CPT. Reviews medical records and efficiently addresses any discrepancies in coding with the medical provider. Enters payments received on accounts, applies payment to existing charges and ensures account balances are current and correct to include third party payers. Reconciles and balances daily. Charges are calculated based on sliding scale fee schedule for private pay patients. Insurance benefits are verified. Assists in the annual registration renewal process--Team communication:---- Communicates on a daily basis with appropriate clinic staff to gather accurate information and prevent gaps in the day to create a smoother work-flow. Assists other staff with question regarding patients billing. --Management of documentation: Assures all billing and collection documentation is accurate and current. Documents all adjustments and or refunds as needed. Assists with any statistical reports required. Obtains required signatures on insurance authorizations and Medicaid acknowledgment forms. Assures all insurance and demographic information is entered correctly in our system. Assures all appropriate documentation required for our clinic programs is accurately captured. ----Demonstrates safe professional conduct: Maintains a friendly environment for self and others.---- Refrains from texting and speaking on the cell phone. Refrains from informal communication with patients and others. Fully participates in performance improvement and follows all Clinic policies and procedures. Responsible for their own safety as well as the safety of others. Attends work on a regular and predictable schedule in accordance with clinic leave policy and performs related or other duties assigned. Must always adhere to a professional appearance in dress and behavior/conduct. Submits required documentation in a timely manner (credentialing requirements, license renewals, certifications, Continuing Education attendance, etc) --QualificationsHigh school diploma or GED. Graduate of an accredited Billing and Coding program with minimum of one year billing experience in a medical or hospital setting or two years billing in a medical or hospital setting. Applicants must be familiar with private insurance, Medicare and Medicaid claims filing. Billing and Coding Certification can substitute for the work experience.--

Keywords: Su Clinica, Brownsville , Temporary Billing Clerk (Data Entry), Accounting, Auditing , Brownsville, Texas

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