Wood County Hospital
Medical Office Billing Clerk
Elevate your career at Wood County Hospital, where you're not just a number you're a vital part of a team making a real difference. To provide professional excellence for Wood Health Company by reviewing outstanding claims and ensuring their accuracy and completeness making necessary corrections to resolve the claim. Receive and answer billing-related inquiries from both internal and external customers as necessary to resolve claim issues. Major tasks, duties, and responsibilities: Receives and reviews correspondence from third party payers relating to outstanding claims and accurately gathers and/or processes information to provide additional information required to process the claim. Maintain task work-log in NextGen; review claims to make sure outstanding claims are addressed according to priority established and resolved by contacting other parties as needed. Confer with payer follow-up websites and/or representatives as necessary to resolve outstanding claims. As required, work with refund specialist to resolve refund, payment or adjustment issues. Receives and courteously answers inquiries from patients, insurance companies, provider offices and other parties regarding charges and/or billing discrepancies. Consistently enters notes on encounters and accounts in NextGen indicating all steps taken to resolve claim issues. Utilizes other systems such as the clinical system and/or third party websites to obtain records, check claim status, file adjusted claims and verify patient eligibility. Applies approved adjustments in NextGen following established guidelines. May submit worker's comp medical in a timely manner. Perform special projects as assigned and assist others in the department as needed. Education, training and experience: High school diploma or GED required Knowledge of medical terminology billing and coding preferred At least one year of medical billing experience preferred Skilled in computer applications like MS Word, PowerPoint, Excel and the Internet Excellent organizational skills Skilled in handling multiple tasks
Elevate your career at Wood County Hospital, where you're not just a number you're a vital part of a team making a real difference. To provide professional excellence for Wood Health Company by reviewing outstanding claims and ensuring their accuracy and completeness making necessary corrections to resolve the claim. Receive and answer billing-related inquiries from both internal and external customers as necessary to resolve claim issues. Major tasks, duties, and responsibilities: Receives and reviews correspondence from third party payers relating to outstanding claims and accurately gathers and/or processes information to provide additional information required to process the claim. Maintain task work-log in NextGen; review claims to make sure outstanding claims are addressed according to priority established and resolved by contacting other parties as needed. Confer with payer follow-up websites and/or representatives as necessary to resolve outstanding claims. As required, work with refund specialist to resolve refund, payment or adjustment issues. Receives and courteously answers inquiries from patients, insurance companies, provider offices and other parties regarding charges and/or billing discrepancies. Consistently enters notes on encounters and accounts in NextGen indicating all steps taken to resolve claim issues. Utilizes other systems such as the clinical system and/or third party websites to obtain records, check claim status, file adjusted claims and verify patient eligibility. Applies approved adjustments in NextGen following established guidelines. May submit worker's comp medical in a timely manner. Perform special projects as assigned and assist others in the department as needed. Education, training and experience: High school diploma or GED required Knowledge of medical terminology billing and coding preferred At least one year of medical billing experience preferred Skilled in computer applications like MS Word, PowerPoint, Excel and the Internet Excellent organizational skills Skilled in handling multiple tasks