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Valley HealthCare System · 2 weeks ago

Accounts Receivable/Billing Clerk

Morgantown Office - Morgantown, WV 26508

Full-time

Onsite

New Grad, Entry Level

Valley HealthCare System is seeking an Accounts Receivable/Billing Clerk responsible for managing workflow and communication regarding documentation corrections and billing processes. The role involves reviewing payments, assisting with denied claims, and maintaining accurate documentation while providing excellent customer service to clients and staff.

Health CareHealth InsuranceInsuranceMental HealthPersonal Health

Responsibilities

Ability to batch and apply all cash receipts

Accurately post payments into database both manually and electronically

Audits and reviews payments for accuracy and compliance

Reviews unapplied/unidentified payment issues to assure timely posting to client accounts

Reviews private pay & completes any refunds – notifies Revenue Cycle Manager of any billing issues

Responds to customer inquiries and requests that may require extracting and analyzing system data

Informs appropriate personnel of billing and/or procedural issues

Establish and maintain constructive working relationships with coworkers, supervisors, managers, as well as external clients and other external business contacts

Supports and assists in training of new employees

Uses the program management system to generate reports and transfer data from system to Microsoft Excel to format into easily readable format for programs/management and to research as directed

Assures all request for service corrections are reviewed/completed within business day submitted and communicates status to necessary parties

Assures the workflow for service correction is followed depending where in the cycle the service is in the billing cycle; unbilled in open accounting period, claimed, paid or in a closed accounting period

Confirms Census is verified then compiles and post daily room & board charges and saves all generated reports to folder following workflow procedure

Scans all paper documentation and saves to the correct folder with naming convention procedures

Maintains and files all paper documentation in the correct file cabinet/folder and attached to the correct paper claim

Download and maintain all electronic remittance, 835payment, 270/271, 277 & 999 files to the correct folder and naming procedure

Confirms 835, 270/271, 277 & 999 file is uploaded into Avatar and reviewed for acceptance, rejections, errors and proceeds to research, correct or inform responsible staff or department of the error

Reviews all paper and electronic remittance for denials or communications from guarantor adjudication and records the denial in program management system using the appropriate form(s)

Informs the biller or other responsible department(s) of the denial or partial denial or communications from the guarantor

Reviews billing/payment activity on consumer accounts for accuracy and makes necessary corrections as directed

Primary staff to answer phone calls, emails concerning any financial account questions from clients, staff and/or physicians

Effectively and professionally resolves issues with clients and insurance payers

Monitors, maintains and uses appropriately, all equipment and supplies

OTHER DUTIES AS ASSIGNED

Qualification

Medical billingHealth care insurance claimsMicrosoft ExcelAttention to detailActive listeningProblem solvingTeamworkComputer skillsBasic office equipmentMulti-taskingMedical terminologyAccounting practicesCommunication skillsReliabilitySelf-motivationPositive attitude