Third Party Billing Clerk jobs in Shreveport, LA

Position Summary

Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies and patients if necessary.

The job description is to be used as a guideline only and may not incorporate all functions of the job; education and experience outlines are ideal qualifications/assets but do not necessarily reflect the requirements of the position

Essential Job Functions include the following, but are not limited to:

1. Prepares and submits clean claims to various insurance companies either electronically or by paper.

2. Answers questions from patients, clerical staff and insurance companies.

3. Identifies and resolves patient billing complaints.

4. Performs various collection actions including contacting patients by phone for insurance information, correcting and resubmitting claims to third party payers.

5. Processes payments from insurance companies.

6. Answers incoming phone calls when needed.

7. Relieves front desk during lunch on assigned weekly basis and will take patient payments, answer the phones and assist patients with questions.

8. Participates in educational activities and attends staff meetings.

9. Conduct self in accordance with employee manual.

10. Maintains strictest confidentiality.

Administration (Admin & Employee Relation sections are specific to managers)

1) Prepares departmental budget on an annual basis, monitors departmental performance and adjust as needed.

2) Develops and prepares policies and procedures governing handling and storage of supplies, equipment, sanitation and recordkeeping and compiling of reports.

3) Participates in management meetings as required.

Employee Relations

4) Develops standards of performance, determines areas of responsibility, assigns responsibility and accountability and delegate responsibilities.

5) Maintains staff by recruiting, selecting, orienting, and training employees; developing personal growth opportunities.

6) Trains and develops employees to become competent with company policies and procedures and job specific responsibilities

7) Ensures effective employee relations. Provides employee coaching and development. Makes employment decisions. Resolve employee issues through problem resolution.

8) Tracks employee attendance and review and approves timesheets in a timely manner

Knowledge, Skills, and Abilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Problem solving—the individual identifies and resolves problems in a timely manner, gathers and analyzes information skillfully.
• Customer service—the individual manages difficult client/customer situations, responds promptly to customer needs, solicits customer feedback to improve service, responds to requests for service and assistance and meets commitments.
• Planning/organizing—the individual prioritizes and plans work activities and uses time efficiently.
• Quality control—the individual demonstrates accuracy and thoroughness, monitors own work to ensure quality and applies feedback to improve performance.
• Quantity—meets productivity standards and completes work in a timely manner.
• Adaptability—the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events. Being flexible to work on weekends and at nights.
• Dependability—the individual is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance.
• Safety and security—the individual observes safety and security procedures and uses equipment and materials properly.

CORE VALUES

· Integrity – Accepts accountability for problems and errors without excuses or blaming others Truthful in all dealings and communications, internally and externally. Fair with employees, customers, suppliers and investors.

· Respectfulness – Treats everyone with respect and courtesy; value the unique qualities and needs of individuals and committed to understanding and appreciating the diversity of cultures, opinions, and experiences of others.

· Teamwork – Works effectively with co-workers as a team; mentor and provide technical knowledge to co-workers; and demonstrate good attendance.

· Accountability – Makes all patients and customers a priority and attend to their needs immediately

· Professionalism – Knows how to perform your job, demonstrates a willingness to learn, demonstrates effective interpersonal interactions

QUALIFiCATIONs

Education and/or Experience

High School Diploma or GED.

1. Knowledge of medical billing/collection practices.

2. Knowledge of computer programs.

3. Knowledge of business office procedures.

4. Knowledge of basic medical coding and third-party operating procedures and practices.

5. Ability to operate a computer and basic office equipment.

6. Ability to operate a multi-line telephone system.

7. Skill in answering a telephone in a pleasant and helpful manner.

8. Ability to read, understand and follow oral and written instructions.

9. Ability to establish and maintain effective working relationships with patients, employees and the public.

10. Must be well organized and detail-oriented.

Language Skills

(specific to position) Reads and comprehends complex instructions, lengthy correspondence, and memos; Writes simple to complex correspondence; Presents information in one-on-one and small group situations to customers, clients, and other employees effectively.

Mathematical Skills

(specific to position) Adds, subtracts, multiplies, and divides in all units of measure using whole numbers, common fractions, and decimals; Computes rate, ratio, and percent.

Reasoning Ability

Applies common sense understanding to carry out detailed, written or oral instructions; Deals with problems involving some variables in standardized situations.