A Billing Clerk prepares and checks information included on a customer bill or invoice. Assembles and itemizes information on products or services purchased, and verifies amounts including any tax owed.
Billing Control Clerk Shasta Community Health Center - 3.7 Redding, CA Job Details Full-time $22.00 - $32.50 an hour 8 hours ago Benefits Paid jury duty 403(b) matching AD&D insurance Paid holidays Disability insurance Health insurance Dental insurance Flexible spending account Tuition reimbursement Employee assistance program Vision insurance Employee discount 403(b) Bereavement leave Life insurance Qualifications High school diploma or
GED Full Job Description Base Pay:
$22.00 - $32.50 / hour
JOB SUMMARY
Responsible for ensuring accurate and appropriate medical and dental billing, claim submission, payment posting, and subsequent follow up on rejected or denied claims. Duties include charge entry, payment posting, and denial entry. Maintains accurate departmental files of fee tickets, bulletins, and other required documentation. Ability to run, read, and comprehend eligibility messages. Exhibits the four core values of respect, integrity, innovation and compassion.
JOB DUTIES AND RESPONSIBILITIES
Works with other billing staff to initiate billing of claims, rebill as necessary, appeal denials, and modify payers as necessary, file paper claims, follow-up on accounts until zero balance. Review statements organized alphabetically. Task encounters for bad debt and write-off. Manual charge entry of paper fee tickets, i.e. Family Pact, CDP, hospital, and home visits. Utilizes EHR documentation to ensure accurate charge and code entry in case of conflict (denial). Accurate posting of payments and denial adjustments received from third parties and patients. Utilizes Medicare FISS system to follow up Medicare denied claims. Follows up on credit balance and unapplied credit reports. Requests adjustments to accounts based on organizational guidelines. Maintains required billing records, reports, and files. Assist with front office error resolution, including completion of assigned tasks. Tutor Front office on error correction and workflow management. Assist with telephone inquiries and provide information requested. Periodic feedback to Billing Manager and Revenue Cycle Manager. Backup for electronic claims submission. Scan explanation of benefits into system for reference. Monthly reporting to Billing Manager of status of assigned accounts older than 90 days based on A/R aging reports and participates in educational activities. Maintains strictest confidentiality.
SOFTWARE ACCESS
NextGen
EPM & EHR, M
\
Drive, Finance I:
\Billing \Fee Tickets, Medi-Cal, Medicare and Blue Cross Electronic Billing, FISS Medicare Online Billing Data, Availity, Partnership Health Plan, ADP EZLabor, Microsoft Office Suite. Ability software, Microsoft
TEAMS, NGS
Connex
KNOWLEDGE, SKILLS AND ABILITIES
Ability to work without direct supervision. Ability to take directions and meet deadlines in a timely manner Knowledge of medical terminology, including CPT and ICD 10, and clinic systems Current knowledge of medical billing, accounting procedures and applications, particularly as they relate to FQHC operations and Encounter Rate Billing Knowledge of claims review, analysis, and quality assurance. Basic working knowledge of Microsoft Office, including Outlook, Excel, and Teams. Knowledge of commercial insurance and government reimbursement programs. Possesses good verbal and written communication skills. Multi-task oriented with attention to detail.
EDUCATION AND EXPERIENCE REQUIREMENTS
High school graduate or equivalent. 3 years' experience using computer application software. Minimum 2 years related experience, preferably with NextGen Program.
BENEFITS
Competitive Wages Medical Insurance Dental Insurance Vision Insurance 403 (b) Retirement Plan with matching employer contribution Long-term Disability coverage Accidental Death and Dismemberment Life Insurance Flexible Spending Account Paid Vacation Paid Holidays CME with stipend, for those eligible Employee Assistance Program Jury Duty Pay Bereavement Pay Health Club Membership Discounts Prescription Discount Program 529 College Savings Plan Educational Reimbursement Free Teledoc service for benefit eligible employees Shasta Community Health Center is an Equal Opportunity Employer
