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Fiscal Clerk

Company: City of Brownsville
Location: Brownsville
Posted on: June 21, 2022

Job Description:

Job Description

THE OPPORTUNITY: The City of Brownsville is in a transformative period driven by significant public and private investments such as the expansion of the Brownsville-South Padre Island Airport Terminal, Space X, the Port of Brownsville, Downtown Revitalization, and quality of life enhancements.

Ideal candidate for Fiscal Clerk aspires to be a model of innovation, inclusion and empowerment who enables bold people and ideas to thrive. The Fiscal Clerk will be a participatory leader: a results-oriented, relationship-building, self-aware team player who also possesses high integrity and politeness, and who foster trust by building relationships with tolerance, patience and support in order to provide the best value in service of the citizens of Brownsville.

The Fiscal Clerk is responsible for monitoring accounts receivables aging, collections and posting of payments. The Fiscal Clerk will have a thorough understanding of Explanation of Benefits (EOBs) and processing of payments from insurance carriers. The Fiscal Clerk works according to set procedures under direct supervision.


* Trust
* Communication
* Leadership


* Performs an evaluation of patient accounts for accuracy of information which includes, patient demographics, complete and accurate insurance information, appropriate authorizations obtained, appropriate ICD-9, CPT and HCPCS coding, and accurate charges.
* Assigns correct levels of service and coding of claims according to governmental regulations.
* Responsible for identifying and documenting insurance payer issues as they arise. Must communicate all issues to teammates and Supervisor. Responsible for maintaining a file containing all pertinent information for each issue to include correspondence, EOBs, claims, collections etc.
* Must be an effective team member with good communication skills. Must participate in team meetings, communicate work related ideas and concerns proactively, and assist in finding appropriate resolutions.
* Responsible for contacting insurance companies regarding outstanding claims.
* Responsible for providing any information (medical records, itemized statements, etc.) requested by insurance companies to process claims. Must maintain a system to ensure timely follow up is completed for each outstanding claim.
* Refer accounts, in accordance with established guidelines, for write-off, agency, or attorney referral.
* Cross train in the various Ambulance Billing areas to be completely familiar with all aspects of patient accounting functions.
* Must have basic medical terminology knowledge.
* Maintain status reports consisting of outstanding accounts assigned.
* Responsible for contacting insurance companies, patients, employers, etc. to resolve payment issues that require their assistance.
* Documents accounts in accordance with established department guidelines.
* Follows established billing/coding guidelines to flag accounts for follow-up as needed.
* Performs copying, transcribing, entering or posting data of information.
* Responsible for serving others such as customers; attends to their requests and exchanging information with them.
* Must handle or use machines or equipment that requires moderate instruction and experience such as computers, peripherals, software programs such as work processing, spreadsheets, or custom applications, or switchboards.
* Performs addition, subtraction, multiplication, and division; may calculate ratios, rates and percentages.
* Performs any other duties assigned.


* Requires high school diploma or GED. One year of college education or specialized advanced training in medical billing, or a closely related field, preferred.
* Valid Texas Driver's License.
* Bilingual (English and Spanish), requires reading basic sentences, instructions, or work orders; writing simple sentences and completing uncomplicated job forms; speaking sentences using basic grammar.


* Requires minimum one year of work related experience.


* Requires a valid Texas Driver's License.
* Medical Billing Specialist Certification


Performs medium to heavy work that involves walking or standing, lifting and pushing, exerting between 10 and 20 pounds of force on a recurring basis, or skill, adeptness and speed in the use of fingers, hands or limbs on repetitive operation electronic office machines or tools within moderate tolerances or limits of accuracy.


The City of Brownsville is an Equal Opportunity Employer. ADA requires the City to provide reasonable accommodations to qualified individuals with disabilities. Prospective and current employees are invited to discuss accommodations.


The City of Brownsville participates in a generous retirement plan with retirement opportunities available at 5 or 20 years of continuous service. The City has an exceptional employee and family medical and dental insurance plan. Employees may also contribute to deferred compensation plans from Equitable or supplemental insurance plans from AFLAC and Colonial Life. Full time employees have the opportunity to accumulate 10 sick days and 10 annual days per year. Additionally, the City of Brownsville observes 12 holidays annually.


The City of Brownsville does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors.

Nothing in this job description restricts organization's right to assign or reassign duties and responsibilities to this job at any time in order to develop our employees; This description reflects management's assignment of essential functions, it does not prohibit or restrict the tasks that may be assigned; this job description is subject to change at any time.

Keywords: City of Brownsville, Brownsville , Fiscal Clerk, Other , Brownsville, Texas

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