Posted in Management 30+ days ago.
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Merced Faculty Associates Medical Group, Inc.
Job Title: Medical Billing Clerk
Reports To: Billing Department Manager/Supervisor
FLSA Status: Hourly Non-Exempt
Prepared By: Susan Harris
Prepared Date: 06/04/2007
Approved By: Human Resources
Approved Date: 06/04/2007
Obtain charge information, code, review, and enter into the billing system. Complete billing and collection process by performing the following duties.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Data entry of patient information, insurance information, procedures, diagnoses, charges and payments of patient accounts.
Research and enter omitted or updated billing information.
Generate claims to third party payors, either manually or electronically.
Generate patient statements after obtaining insurance company remittance.
Post patient and insurance payments and charge adjustments.
Follow up on outstanding insurance and patient balances via phone calls or written correspondence.
Make payment arrangements with patients for private pay and past due accounts.
Obtain insurance reimbursement rates and perform cost analysis prior to services being rendered.
Prepares credit memorandums to indicate overpaid accounts.
QUALIFICATIONS 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.
Knowledge of billing and coding procedures.
Knowledge of insurance companies, including plans, co-payments and deductibles.
Proficiency in using a computer, fax machine, 10-key calculator, and other office equipment.
Ability to maintain a high level of confidentiality.
Ability to work effectively with patients, staff, and the public.
EDUCATION and/or EXPERIENCE
High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
Ability to read and interpret documents such as code books and procedure manuals. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Ability to calculate figures and amounts such as discounts, interest, and percentages. Ability to apply concepts of basic math.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or key punch; and talk or hear. The employee occasionally is required to reach with hands and arms, stand; walk; and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and peripheral vision and hearing must be in the normal range for telephone contact.
WORK ENVIRONMENT Normal office environment. Occasional evening or weekend work.
MFA retains the right to change or modify job duties at any time. This job description in no way states or implies that these are the only duties to be performed by the employee holding this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the employee will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an "at will" relationship.
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