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Billing Clerk Job Description

Sublette County Health, Hennick Street, Pinedale, WY, USA

Job Type

Full Time

About the Role

Summary Description:
The Billing Clerk is responsible for monitoring and maintaining patient and corporate accounts for
accurate billing and timely claim processing. The Billing Clerk will assist patients regarding inquiries about
their account. They will also work with insurance companies and other third-party payors to ensure that
health claims are accepted, processed and paid.
Supervision Received: Reports directly to the Business Office Manager.
Responsibilities:
1. Daily posting of insurance and patient payments to the appropriate account and date of service.
2. Contact insurance and patients regarding unpaid balances. Research, correct and resubmit any
denied insurance claims.
3. Assist patients in understanding charges and payments to their accounts.
4. Researches and reports credit balances for resolution.
5. Verifies patient and insurance billing information. Processes returned mail, notes the account
and attempts to find new address.
6. Makes payment arrangements for all new patients as needed.
7. Transfer balances as appropriate between payer and patient responsibility.
8. File secondary insurances when appropriate.
9. Assist with eligibility verification by phone with insurance to assure claim payments.
10. Communicates directly with collection agencies and provides them with all pertinent data.
11. Performs other duties as assigned by the Business Office Manager.

Requirements

Qualifications:

1. High school graduate.

2. Two years of college of Technical School preferred; or

3. Five years related experience and training; or

4. Five years in medical related setting.

5. Minimum of three years experience in Billing Office setting is ideal.

Knowledge, Skills and Abilities:

1. Knowledge of medical billing/collection practices.

2. Knowledge of explanation of benefits analysis.

2

3. Knowledge of computer programs, spreadsheets and applications.

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

5. Knowledge of legal and regulatory government provisions.

6. Skill in establishing and maintaining effective internal and external working relationships.

7. Ability to enter accurate data and examine insurance documents.

8. Ability to perform accurate arithmetic functions and must be comfortable working with

percentages.

9. Ability to communicate effectively and politely with patients, co-workers and others.

10. Ability to prioritize and complete multiple tasks in a timely manner.

Working Conditions:

1. Subject to varying situations including ability to understand and respond appropriately, effectively

and sensitively to special population groups, including those defined by race, ethnicity, language,

age, sex, sexual orientation, economic standing, etc.

2. Frequent contact with a variety of people including prisoners and people with mental, emotional

and physical disabilities.

3. Medical office, exam room, laboratory, radiology, emergency room and professional practice

settings. Frequent exposure to communicable diseases and other conditions common to rural

clinic environments.

4. May require working long hours in an office environment at a computer and possibly answering

high volumes of phone calls. Requires ability to handle customer or employee complaints in a

professional manner.

5. May require travel between District sites.

Physical Demands:

Varied activities including moving, reaching, bending, and lifting. Requires full range of body motion

including handling, moving, positioning and transporting patients. Also requires manual and finger

dexterity, and eye-hand coordination. Requires standing and moving for extensive periods of time.

Occasionally moves and transports items weighing up to 50 pounds without assistance. Requires

corrected vision and hearing to normal range. This position frequently requires working under stressful

conditions and irregular hours. Year-round highway travel between clinics and other facilities throughout

the district is required.

The above statements are intended to describe the general nature and level of work being performed by

persons assigned to this job. This document is not intended to be an exhaustive list of all responsibilities,

skills, and working conditions for the persons so classified. Responsibilities, knowledge, skills, abilities

and working conditions may change as needs evolve.

About the Company

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