Medical Billing Clerk

Company: Triangle Area Network Inc
Location: Beaumont
Posted on: May 12, 2022

Job Description:

Job DescriptionSalary: $15 - $20 DOEThe Medical Billing Clerk is responsible for overseeing day to day duties of the Medical Billing Department for all service provided through TAN Healthcare. This sometimes involves working with patients to collect payment on outstanding medical bills, answering patient questions regarding repayment methods and billing disputes, as well as work with all insurance companies including, but not limited to Medicare and Medicaid to collect contractual reimbursement on medical claims. Essential Job Responsibilities

• Verify accurate data entry for patient demographics, SOGI and direct discrepancies to the appropriate Eligibility and Insurance Verification staff.
• Maintain current knowledge of ICD-10 and CPT codes.
• Maintain up-to-date knowledge of insurance guidelines, Medicare and Medicaid regulations.
• Prepare and submit claims – Electronic HCFA/UB and Paper HCFA
• Post and process insurance payments as well as contractual adjustments, as needed.
• Work denials
• Prepare, review for accuracy and mail monthly patient statements
• Prepare monthly reports for Finance and the Board of Directors as needed
• Process/reconcile patient copays weekly
• Coordinate with Billing Operations Manager to maintain insurance contracts for In Network facility and provider participation
  • Protect facility reputation by maintaining confidentiality of client financial information
    • Any other duties as assigned Minimum Education, Qualifications and Experience:High School diploma or GED is required. Must have strong working knowledge of Microsoft software as well as Windows-based computers and software. Certification in billing and coding preferred. 2 or more years of billing experience required, however, Federally Qualified Health Center (FQHC) strongly preferred. eClinicalWorks knowledge preferred. Triangle Area Network, Inc has the right to modify the duties and functions of the job description based on the needs of the organization. This job description will be reviewed and updated, if necessary, at the employee's annual review. My job description has been explained to me by my supervisor, I have been able to ask questions as needed, and I understand the contents as described above. I have received a copy of my job description for my records.

Keywords: Triangle Area Network Inc, Beaumont , Medical Billing Clerk, Accounting, Auditing , Beaumont, Texas