The Third Party Billing Clerk completes and verifies ICD-9 coding. Responsible for reviewing, researching, coding, and generating third party billing for a medical facility. Being a Third Party Billing Clerk performs basic customer service for routine patient or other inquiries. Inputs and maintains all payment records in database or systems. In addition, Third Party Billing Clerk requires a high school diploma. Typically reports to a supervisor or manager. Being a Third Party Billing Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
GENERAL PURPOSE :
Under the general supervisor of the PFS Director, this position will be the primary contract for 3rd Party Collections and act as liaison between the insurance carriers and hospital to maximum revenue that are reflective of the hospital’s services. Will organize contract audits of hospital accounts receivable with minimal supervision. This position will have responsibilities for the aging of Medicaid and 3rd party accounts and relaying information regarding coverage and/or payment changes to the PFS Director.
ESSENTIAL FUNCTIONS:
This position is responsible for the day to day collection from 3rd party accounts and coordinating of Patient Financial Services to increase cash flow. Analyzes and reviews claims for accuracy, completeness and eligibility. He / She will also see all write-offs and contractual adjustments applied correctly to accounts. Responsible for handling all outside vendors, internal departments to increase cash flow and monitor all activities related to cash flow. Addresses accounts over 60 and 90 days or more with staff and outside agencies. Prepares and maintains reports and records for processing. Will review payment posting and review adjustments to verify correct posting to accounts.
DUTIES AND RESPONSIBILITIES :
SKILLS AND ABILITIES REQUIRED :
EDUCATION AND EXPERIENCE REQUIRED :
Job Type: Full-time
Pay: $20.00 - $24.00 per hour
Ability to Relocate:
Work Location: In person
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