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Mosaic Life Care

Home Services Billing Representative

Career Insights for Billing Clerk (General)

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What they do

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.

$40,502 / year median in Missouri

-17% projected decline

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Job Description

Works under the direction of the Home Services Billing Office Manager and within the established organizational and departmental policies and procedures, is responsible for accurate claim submission with payee guidelines, accounts receivable timely follow-up and denial management issues for patient accounts activity. Performs tasks required to ensure the timely and accurate submission of insurance claims to all third party payers and documents billing activity in the patient accounting system, such as: Reviewing electronic orders for additional information not sent in the interface transmission (i.e. handwritten information, attachments, copies of insurance cards) and updating system accordingly; completing and enter demographic information; interpreting and coding demographic information; performing specialized processing for accounts missing information; researching multiple systems for missing information and examining historical data to obtain missing information and retrieve per compliance guidelines; and contacting patient for missing information and updating system with new information accordingly. Accurately enters patient billing data, including supply changes into the information system. Works daily electronic billing file and submits insurance claims to third party payers. Reviews daily edit reports from the hospital and/or clinic billing system and makes necessary corrections to allow electronic submission. Reviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission. Monitors claim rejections for trends and issues and reports findings to Billing Manager. Prepares and submits manual insurance claims to third-party payers who do not accept electronic claims or who require special handling. Coordinates medical record requests as needed. Documents billing activity on the patient account. Ensures Home Centric compliance with all state and federal billing regulations and reports suspected compliance issues to the Billing Manager. Works with supervision, management and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department. Attends required training. Monitors for Medicare, Additional Development Requests (ADR) and alerts appropriate management of ADR. Other duties as assigned Education H.S. Diploma
  • High school diploma or GED equivalent
  • Required Work Experience Typing speed of 45 WPM preferred and 10-key by touch.
  • Required 1 Year
  • Experience in accounting, collections and/or insurance billing
  • Preferred Computer experience
  • Preferred Licenses and Certifications Upon Hire Travel Requirements Travel to off-site locations may be required.
  • Required Mosaic Life Care is a health care system in northwest Missouri.
With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.