Crawford Memorial Hospital
Job Description
Job Description
Position: Clinic Biller Department: Clinic Patient Financial Services Reports To: Director of Clinic Systems Direct Reports: None FLSA Classification: Non-Exempt
Position Summary The Clinic Biller is responsible for providing outstanding customer service while performing a variety of clerical duties related to compiling itemized bills, verifying patient insurance coverage, computing patient insurance benefits and following up on AIR in a timely manner. Works closely with the Admitting, Medical Records, and Physician's office staff.
General Duties, Tasks and Responsibilities Completes claim forms, submits claims to proper agencies I insurance companies; ensures billing numbers, other identifiers and revenue codes are used appropriately; identifies claim problems and resolves in a timely manner; ensures closed AIR balance is not altered with claim corrections or adjustments. Contacts patients/insurance companies to collect unpaid insurance claims; identifies and refunds patient and insurance credits; reads and explains account detail activity to patients; understands and reviews financial assistance program. Ensures knowledge and use of coding modifiers as appropriate. Performs as a backup to Clinic Accounts Receivable Clerk position proficient in insurance and patient payment posting, recording refunds on patient accounts, balancing deposits with transactions; posts contractual adjustments correctly per EOB and contract guidelines. Stays informed on changes in Medicare, Medicaid, Commercial plans and other Healthcare changes which affect billing and reimbursement methods and procedures. Complies with all established safety procedures to ensure a safe environment for patients, visitors and staff. Participates in performance improvement activities. Performs other duties as assigned.
Education Requirements High School diploma/Equivalent Required Associate's Degree in related field Preferred
Experience Requirements Healthcare Insurance/ Billing minimum 1 year Preferred
Computer Skills Strong computer skills including Microsoft Word, Excel and Outlook
Additional Skills Ability to work independently, prioritize and complete tasks in a timely manner Excellent written and verbal communication skills, be professional, polished and articulate well Knowledge of criteria for Medicare, Medicaid, HMO and private insurance
Job Description
Position: Clinic Biller Department: Clinic Patient Financial Services Reports To: Director of Clinic Systems Direct Reports: None FLSA Classification: Non-Exempt
Position Summary The Clinic Biller is responsible for providing outstanding customer service while performing a variety of clerical duties related to compiling itemized bills, verifying patient insurance coverage, computing patient insurance benefits and following up on AIR in a timely manner. Works closely with the Admitting, Medical Records, and Physician's office staff.
General Duties, Tasks and Responsibilities Completes claim forms, submits claims to proper agencies I insurance companies; ensures billing numbers, other identifiers and revenue codes are used appropriately; identifies claim problems and resolves in a timely manner; ensures closed AIR balance is not altered with claim corrections or adjustments. Contacts patients/insurance companies to collect unpaid insurance claims; identifies and refunds patient and insurance credits; reads and explains account detail activity to patients; understands and reviews financial assistance program. Ensures knowledge and use of coding modifiers as appropriate. Performs as a backup to Clinic Accounts Receivable Clerk position proficient in insurance and patient payment posting, recording refunds on patient accounts, balancing deposits with transactions; posts contractual adjustments correctly per EOB and contract guidelines. Stays informed on changes in Medicare, Medicaid, Commercial plans and other Healthcare changes which affect billing and reimbursement methods and procedures. Complies with all established safety procedures to ensure a safe environment for patients, visitors and staff. Participates in performance improvement activities. Performs other duties as assigned.
Education Requirements High School diploma/Equivalent Required Associate's Degree in related field Preferred
Experience Requirements Healthcare Insurance/ Billing minimum 1 year Preferred
Computer Skills Strong computer skills including Microsoft Word, Excel and Outlook
Additional Skills Ability to work independently, prioritize and complete tasks in a timely manner Excellent written and verbal communication skills, be professional, polished and articulate well Knowledge of criteria for Medicare, Medicaid, HMO and private insurance