Billing Clerk II

Job Summary

Under direct supervision of the Billing Manager, the Billing Clerk II is responsible for maintaining the clinic billing of all patients, including Medi-cal, Medicare, and third-party billing; and for maintaining an open line of communication with all insurance carriers including follow-up, denials, and appeals; and for maintaining a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff.

Duties and Responsibilities

* Calls insurance companies to verify insurance eligibility coverage.

* Performs basic mathematical computations.

* Works with insurance denials and follows up on claims status.

* Assists patients with problems concerning their accounts.

* Covers cashier and Financial Screener stations, when needed.

* Reviews & Analyzes the A/R Aging Report on a regular basis.

* Reports any incidents or patient complaints to Billing Manager.

* Performs special billing projects.

* Commutes from different clinic locations as requested to cover other Billing staff or attend meetings and in-service trainings.

* Scheduled to work every other Saturday as a Financial Screener/Cashier (8 hour shift and some Holidays).

* Responsible for following all Agency safety and health standards, regulations, procedures, policies, and practices.

* Performs other duties as assigned.

Requirements

* Bilingual (English and Spanish).

* Medical Billing/Coding Certification

* Two (2) years billing experience in a medical setting.

* Have the ability to prioritize, organize, trouble shoot and problem solve.

* Effective verbal and written communication skills.

* Knowledge in current ICD 9, ICD 10, CPT Codes & HCPCS.

* Knowledge in Insurance verification & eligibility.

* Must have reliable transportation