| Purpose: |
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Under general supervision, perform tasks relating to verification of clinic patients' insurance coverage, collection of third party insurance submissions, and client customer services related tasks. |
| Duties, Functions and Responsibilities: |
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Essential duties and functions, pursuant to the Americans with Disabilities Act, may include the following. Other related duties may be assigned.
- Submit insurance claims to first, second, and third party payors
- Identify, research, analyze, and correct problems with overdue/unpaid patient accounts
- Compile data for reports, cost estimates, and produce audit reports for electronic filing, etc
- Reconcile cash on hand box and bank card reports
- Answer questions concerning patient accounts and/or division/unit operations
- Discuss billing and accounting operations with other financial service co- workers
- Draft routine correspondence, memos, etc.
- Reconcile patient account(s) with accurate backup documentation and supervisors authorization
- Prepare security forms for deposit armor pickup
- Translate/review/verify basic medical record data for patient/billing purposes
- Correspond with insurance companies, hospitals, nursing homes, city and state agencies, clinical physician offices, and law firms
- Inform/instruct co-workers of any insurance updates
- Process all forms for account receivable documentation
- Apply payments to accounts/correct fund or revenue source insurance companies, credit counseling, and billing
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| Responsibilities - Supervisor and/or Leadership Exercised: |
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- May provide leadership, work assignments, evaluation, training, and guidance to others.
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| Knowledge, Skills, and Abilities: |
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Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed.
- Knowledge of office operating procedures
- Knowledge of basic cash accounting and billing procedures
- Skill in effective oral and/or written communication
- Skill in establishing and maintaining good working relationships with internal and external customers
- Skill in reviewing (proofreading) material to ensure accuracy, completeness, and adherence to established formats
- Skill in interpreting and analyzing applicable data
- Skill in establishing work priorities to ensure completion of job tasks within a specified time frame
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| Minimum Qualifications: |
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- Graduation from an accredited high school or equivalent plus three (3) years of related experience with insurance companies, credit counseling, and billing, two (2) additional years of general clearical/secretarial experience required.
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| Licenses and Certifications Required: |
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None.
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