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Crawford County Clinic · 2 weeks ago

Insurance Billing Clerk

Denison, Iowa, United States

Full-time

Onsite

Entry Level

1+ years exp

Crawford County Clinic is a healthcare provider looking for an Insurance Billing Clerk. The role involves maintaining knowledge of billing regulations, preparing and transmitting claims, and ensuring proper reimbursement for assigned accounts.

Medical Practice

Responsibilities

Maintains a working knowledge of applicable Federal, State and local laws and regulations, Code of Ethics, as well as other policies and procedures Insurance billing and follow-up

Prepare, review, and transmit claims using billing software, including electronic and paper claim processing. Post insurance payments

Resolves claims edits and issues to ensure proper billing and reimbursement of all assigned accounts

Monitors visits for denials, unpaid claims, credits, late charges and other account information. Completed follow-up in a timely manner

Responsible for the distribution of paper claims and verifying electronic transmission

Performs Series Accounts billing in a timely manner. Ensures procedures are followed to eliminate denied claims due to duplicate services dates, etc

Answers department telephones appropriately and handles routine questions involving billing

Follows up on all claim denials in a timely manner

Ensures departmental AR goals are met

Demonstrates ability to use Cerner EMR and SSI claims scrubbing software system to batch, download, and transmit claims as necessary

Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies

Check each insurance payment for accuracy and compliance with contract discount

Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds

Consistently reports to work at the scheduled time in a punctual manner and at the assigned job location

Regularly attend monthly staff meetings and continuing educational sessions as requested

Attends all required Safety Training programs and can describe his/her responsibilities related to general safety, department/service safety and specific job-related hazards

Follows the Hospital Exposure Control Plans/Bloodborne and Airborne Pathogens

Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment

Promotes effective working relations and works effectively as part of a department/unit team inter- and intra- departmentally to facilitate the department’s/unit’s ability to meet its goals and objectives

Perform other duties as assigned