Patient Accounting Clerk

Overview

Performs posting, statements, credit balances, bad debt and small balance write offs. Performs some collection job duties involved in administering self-pay patient accounts and those duties related to collecting payments for delinquent accounts. Performs duties involved in receiving payments from patients, accounting for and depositing payments and assuring payment information is reflected on patients’ accounts. Reports to the Cash Posting & Denials Supervisor.

OSHA Bloodborne Pathogens Class II.

• Education: High School Graduate or equivalent
• Personal job-related skills: Operation of ten-key adding machine/calculator. Familiar with operating personal computers, familiarity with Medicare and Medicaid claim processing procedures.
• Licensure, registry or certification: None Required.
• Prior
  
  Work Experience:
  
  One year with medical terminology, Medicare/Medicaid and insurance background.
• Technical Training:None Required.
• Physical and Mental Requirements: Duties of the position require intermittent walking, sitting and standing. Some bending, stooping and reaching is required with the lifting of items up to a weight of 20 pounds. The ability to comprehend and follow routine written or verbal instructions.

• Answers telephone and correspondence.
• Responds to questions from insurance companies, patients and patient families and other hospital departments regarding billing.
• Mails daily/weekly statements.
• Performs daily computer file maintenance.
• Responds to correspondence resulting from third party claims.
• Maintains files and prepares reports as required.
• Keeps supervisor advised of the status of Medicare and Medicaid claims and payments.
• Provides Administration with reports when requested.
• Administers self-pay patient accounts.
• Sends statements and correspondence to patients and maintains contact with patients with self-pay accounts.
• Monitors self-pay accounts and payments to determine if account payments are current.
• Accepts payments or deposits and provides assistance to patients with account questions.
• Takes collection action on delinquent accounts.
• Reviews accounts past due and makes telephone contact and sends collection letters or final notices as prescribed by hospital policy.
• Provides supervisor with a listing and status of delinquent accounts for appropriate action.
• When directed by the supervisor, provides information and documentation on delinquent accounts to collection agencies or attorneys.
• Receives and processes payments from patients by check, cash or credit card.
• Identifies amount of payment and prepares a receipt for the patient.
• Ensures payment information is processed so that proper application to the patient’s account can be made.
• Accounts for and deposits patient’s payments received
• Reconciles funds received with receipts.
• Posts all payments in a timely manner.
• Prepares credit card transmittals on a timely basis.
• Prepares reports and maintains files.
• Prepares report of daily transactions and other periodic reports as directed.
• Reviews remittance advices to assure payment information is routed to the proper account.
• Maintains cash receipts and cash report files.

• Maintains confidentiality while working with confidential matters on a daily basis.
• Adheres to Hamilton Healthcare System’s Behavioral Standards.
• Emulates the customer service expectations for Accountability, Respect, Integrity, Service, and Excellence.
• Maintains HIPAA compliance at all times.
• Abides by the Hamilton Healthcare System Personnel Policy and Employee Handbook. Performs all other duties as assigned.