Medical Billing Clerk jobs in Florence, AL

Description

FLSA Employment Status :

Nonexempt / Hourly

This is primarily a remote position, with 2 days per week required in the office located in Savannah, TN.

JOB SUMMARY

The Remote Medical Billing Specialist processes hospital and patient billing for reimbursement.

Generates patient statements and other invoices. Responsibilities may include data entry, posting payments, reconciling billings and invoices, checking balances and maintaining patient files.

Works with insurance companies to perform insurance billing, review, and verification of accounts in accordance with program provisions.

Reporting Structure :

Reports to the Medical Billing Supervisor

MINIMUM QUALIFICATION REQUIREMENTS

Education

High School diploma or GED Equivalent required. Some college business training.

Work Experience

Must have six months to one (1) year general office experience. Medical billing hospital billing experience preferred.

License / Certification : N / A

CORE COMPETENCIES

Mission, Vision

Core Value / Standards of Conduct

AIDET / Organizational Expectations

Safety

Quality

Flexibility

Customer Service

Diversity and Inclusion

Finance

Abuse and Neglect of Adult Patient

Abuse and Neglect of Pediatric Patient

Acute Coronary Syndrome / Chest Pain Protocols

Biohazard Waste

CC Hand Hygiene

JOB SPECIFIC CORE COMPETENCIES

Skills, Knowledge, Abilities, Behavior

Medical Terminology

Medicare, Medicaid, and other third party billing concepts, fee for service,

Problem Resolution

Patient Billing Systems

Electronic Billing Systems

CPT, Payer coding concepts

ORGANIZATION EXPECTATIONS

Demonstration of Core Values : Integrity, Compassion, Teamwork, Trust, Innovation, Stewardship, Excellence, and Respect.

Provides a positive and professional representation of the organization.

Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention.

Maintains hospital standards for a clean and quiet patient environment to maintain a positive patient care experience.

Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice.

Adheres to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.

Participates in ongoing quality improvement activities.

Maintains compliance with organization's policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards.

Complies with organizational and regulatory policies for handling confidential patient information.

Demonstrates excellent customer service through his / her attitude and actions, consistent with the standards contained in the Vision, Mission, and Values of the organization.

Adheres to professional standards, hospital policies and procedures, federal, state, and local requirements, and regulatory agency and accrediting standards (DNV, etc.).

ESSENTIAL FUNCTIONS

Collects, posts, and manages patient billing payments

Prepares and submits claims to various insurance companies either electronically or by paper.

Maintaining records of medical billing and claims, settlements, and medical insurance.

Answers questions from patients, clerical staff, and insurance companies

Identifies and resolves patient billing complaints.

Assigns different corresponding codes to make sure that a medical facility is accurately billed.

Verifies diagnoses and procedures with the physicians to avoid discrepancies.

OTHER DUTIES

May review and analyze the SSI billing reports to ensure accurate billing and receipt of claims.

Reviews the SSI Claims to ensure that all claims are being sent electronic.

Performs other related duties as required.

PHYSICAL DEMANDS

This job operates in a professional office environment. This role routinely uses standard office equipment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls;

reach with hands and arms; climb stairs; talk or hear. The employee must occasionally lift or move office products and supplies, up to 20 pounds.

Must be able to see with corrective eye wear

Must be able to hear clearly with assistance

May be exposed to infectious and contagious diseases

May be in contact with patients under a variety of circumstances

Able to handle emergency or crisis situations

May be occasionally subject to irregular work hours

May be required to wear protective equipment as necessary

Ability to pass all required health and other screening tests including random and reasonable suspicion drug screens.

PHYSICAL ABILITIES AND REQUIREMENTS

Activity

Occasionally (1-33%)

Frequently (34% to 66%)

Continuously (67% to 100%)

Sitting

Walking

Standing

Bending

Squatting

Climbing

Kneeling

Twisting

Lifting

Carrying

Pushing

I, (Print Name) have received a copy of this job description.

The following signature indicates that I have read and understand all aspects of the job description, and I assert that I am not aware of any reason that would prevent me from performing all job responsibilities under the conditions described.

Further, my signature indicates that, upon accepting employment at HMC, I agree to perform the job duties as listed in this job description and all other duties as required.

Employee Signature

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Last updated : 2024-04-07