Medical Billing Clerk

Responsibilities:

• Accurately processes and bills Medicare / Medicaid claims in accordance with payer requirements and organization policy.
  

• Assists in the preparation of monthly billing and accounts receivable reports.
  

• Maintains complete and accurate billing and accounts receivable records.
  

• Alerts appropriate management team members regarding late or missing documents required for billing.
  

• Assists with the collection of receivables by monitoring accounts receivables resubmitting bills to overdue accounts and alerting the billing manager of seriously overdue accounts.
  

• Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.
  

• Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state and federal regulations.
  

• Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.
  

• Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate organization personnel.
  

• Gathers collates and reports key billing information to the Finance Director.
  

• Collaborates with Finance in successfully reconciling the billing system reports with the general ledger.
  

• Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
  

• Establishes and maintains positive working relationships with patients family members payers and referral sources.
  

• Conducts prebilling audit to ensure accuracy of documentation.
  

• Generates reports at end of month close reflecting revenues and expenses and accounts receivable and collections.
  

• Performs other duties as assigned. Performs other specific projects relating to billing data entry and computer operations as required.
  

Requirements

• (2) years of experience in accounts receivable and or healthcare data entry preferably in home health care systems.
  

• (1) year of previous health care related billing experience preferably in home health care billing.
  

• Experience with McKesson software and/or experience/exposure to multiple billing software packages.
  

• Great attention to detail good organizational skills and ability to manage and prioritize multiple tasks in a fastpaced environment.
  

• Excellent verbal and written communication skills and demonstrated business telephone skills.
  

• Proficient in MS Office and the internet.