Front Desk Billing Clerk - Behavioral Wellness

Company: Su Clinica
Location: Brownsville
Posted on: June 6, 2021

Job Description:

This position is vital in the health care delivery system. This position has a vital function with the fiscal aspect of the Clinic and a point of contact with patients. Adhere to policies and procedures in conducting all clinical charges, payments, adjustments for proper billing and collections. 

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. Supports the vision and the mission of the Clinic at all times.

Patient 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 patient’s 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 collects from patients as per policies and procedures of each specific program or grant.  Efficiently addresses any discrepancies in the billing or collection process.  Accurately enters data and maintains current computer files regarding patient demographics, insurance and account information. Enters payments received on accounts, applies payment to existing charges and ensures account balances are current and correct Reconciles and balances daily. Charges are calculated based on sliding scale fee schedule.  Insurance benefits are verified.  Will be crossed trained on the Registration Process and duties.

Team communication:   Actively participates in team huddles to assure maximum communication among billers and gaps in the day.  Will assist with front desk functions to create a smoother patient flow.

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. Encourages patients to sign up for patient portal.  Will add: consent forms as needed  on line 3.

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 other duties assigned. Submits required documentation in a timely manner (credentialing requirements, license renewals, certifications, Continuing Education attendance, etc)

High school diploma or GED.  Graduate of an accredited Medical Office Specialist program with minimum of one year billing experience in a medical or hospital setting or two years billing in a medical or hospital setting. Must be bilingual (English/Spanish). Applicants must be familiar with private insurance, Medicare and Medicaid claims filing. Experience with CPT and ICD-9 and ICD-10 coding. 

Keywords: Su Clinica, Brownsville , Front Desk Billing Clerk - Behavioral Wellness, Other , Brownsville, Texas