Job Details

ID #51107340
Estado Missouri
Ciudad St louis
Full-time
Salario USD TBD TBD
Fuente Missouri
Showed 2024-02-22
Fecha 2024-02-22
Fecha tope 2024-04-22
Categoría Admin/oficina
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Process Clerk

Missouri, St louis, 63011 St louis USA

Vacancy caducado!

Key Results Area:

Entry-level position performing administrative duties to assist in the medical insurance billing process. This position is eligible for a hybrid schedule after the first 90 days of employment.

Principal Duties and Responsibilities:

Sorts and scans mail; addresses envelopes or packages. Stuffs envelopes by hand to prepare for mailing.

Calls on insurance companies to get claim status.

Posts payments as needed.

May handle Revenue Cycle Management refunds for assigned clients. Print, sort and enter data into the system.

Retrieves secondary claim data, such as dates, from medical billing software.

Retrieves and photocopies Medicare Explanation of Benefits (EOB’s) from files.

Retrieves and photocopies commercial insurance Explanation of Benefits (EOB’s) from files.

Retrieves medical claim data via the internet.

Sorts and prepares Health Insurance Claim Forms (HFCA’s) and matches primary EOBs to secondary claims.

Files completed charge batches according to file guidelines.

Verifies that claims have been received via charge logs. Notifies manager of any missing or incomplete data.

Work accession logs and sort out the commercial and government insurance.

Complies with all aspects of the Compliance Program. Maintains strict confidentiality of all patient information, as well as abides by all Hawthorn Standards of Conduct and HIPAA regulations.

Passes quarterly audits of work with a minimum score of 95%.

Performs other duties as assigned, including special projects such as calling doctor’s offices to obtain PCP referral name.

Additional Duties and Responsibilities:

Answers patient phone calls and resolves patient billing issues per customer service policies. After 90 days of employment.

Education:

High School Diploma and/or equivalent experience required.

Experience:

Three to six months clerical experience and/or training preferred, or equivalent combination of education and experience. Medical billing experience a plus.

Required Skills:

Ability to work independently and as part of a team.

Excellent organizational skills and attention to detail.

Must have excellent written and oral communication skills.

Strong data entry, 10-key, typing skills and basic Excel skills.

Must possess the ability to multi-task a variety of responsibilities, prioritize

Previous experience working with a high-volume of paperwork desired.

Ability to read and interpret documents and write routine correspondence. Ability to speak effectively with management, co-workers and patients.

Ability to operate basic office equipment such as copier, fax, and calculator.

Vacancy caducado!

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