MINIMUM QUALIFICATIONS:
Associate degree/Certification in medical curriculum -AND- two (2) years recent billing experience;
-OR-
High School diploma or equivalent -AND- three (3) years recent experience in outpatient, Medicare and Medicaid, computerized and manual physician billing for third party payers.
ADDITIONAL REQUIREMENTS:
Must submit a copy of college transcripts and/or certification with application
PHYSICAL REQUIREMENTS:
Must be able to perform Essential Job Duties and Functions with or without reasonable accommodations.
JOB SUMMARY: Performs professional tasks in Medicare, Medicaid and Private Insurance billing/coding process; responsibilities include charge entry, payment posting, accounts receivable and assisting with insurance appeals; must demonstrate ability to perform clerical tasks including properly formatted written communications with clients and venders; performs related work as required
ESSENTIAL JOB DUTIES AND FUNCTIONS:
- Analyze account detail (charges, payments and adjustments) and answer detailed questions from payers and third party payers regarding claims or account status
- Assist Supervisor and Senior Billing Clerk to identify and provide solutions for denials to obtain proper reimbursement or services
- Process claims for insurance billing reimbursements
- Assist medical providers and employees with direction on the usage of a specific diagnosis code, CPT code and modifier or documentation requirements
- Assist Supervisor and Senior Billing Clerk with department compliance with governmental and other third-party payer rules and regulations governing coding and billing
- Assist in implementing Genesee County Health Department program requirements to ensure correct and appropriate coding and billing
- Assist with the creation of manuals and procedure documents for other clerical staff to follow as it relates to billing procedures that have been approved by the Medical Health Officer
- Assist Genesee County Health Department employees with the correct procedure process manual for insurance verification based on provider and/or service being offered
- Maintain accounts payable and accounts receivable log
- Performs other related duties as directed
