Billing & Insurance Clerk I, PRN (As Needed)

Responsibilities

Responsible for posting and reconciling payments to patient ledgers and submitting claims to payors

• Accurate and timely posting of payments to client’s ledger to reflect correct account balance through payments and adjustments.
• Verifies patient demographic and billing information.
• Verifies insurance eligibility through individual insurance carrier websites and documents necessary information.
• Responds to patient billing inquiries.
• Review encounter tickets for completeness and accuracy of CPT and ICD10 codes and follow up with clinic administrative personnel when appropriate coding and documentation are not available.
• Key charges into computerized billing system.
• Collect patient co-payments or balances due on account and enter payments into computerized billing system.
• Tracks encounter tickets weekly to ensure that all clinical activities are posted that all ‘no show’ and ‘canceled’ patients are correctly recorded on both the information system and medical records for compliance purposes, and that charges, payments and deposits balance.
• Assists in the accurate maintenance of medical records and billing files.
• Processes and files billing documents as required.
• Provides internal training regarding the billing process.
• Works cooperatively within the department to resolve problems regarding billing and collections.
• Assist with overseeing the processing of medical bills, regarding patients and/or payers, as necessary. 

Supervision and Consultation

• Seeks supervision and consultation as needed
• Ability to work schedule as defined and overtime as required.
• Accepts and employs suggestions for improvement
• Actively works to enhance skills

Courteous and respectful towards consumers, visitors and co-workers

• Treats consumers with care, dignity, compassion and respect
• Respects consumers’ privacy and confidentiality
• Is pleasant and cooperative with others
• Assists consumers and visitors as needed
• Personal values don’t inhibit ability to relate and care for others
• Is sensitive to the consumer’s needs, expectations and individual differences

Administrative and Other Related Duties as assigned:

• Actively participates in Performance Improvement activities
• Actively participates in AltaPointe committees as requested
• Completes assigned tasks in a timely manner
• Works in a cooperative manner with other AltaPointe employees
• Follows AltaPointe policies and procedures
• Receives and responds to inquiries of accounting matters promptly and courteously
• Assists with performance of duties of other accounting staff in periods of absence
• Performs other duties as assigned

Qualifications

Experience with insurance billing, (BCBS, Commercial, Medicare and Medicaid) required. 

In-patient and out-patient billing experience a plus.

Working knowledge of accounts receivable processes and strong computer skills required.

Data Entry experience, payment reconciliation experience preferred.