What are the responsibilities and job description for the Insurance Clerk position at Jefferson County Health Center?
POSITION OVERVIEW:
The insurance clerk is responsible for the claims process of the health center’s revenue process, which includes accurate and timely claim creation, follow-up, and appeal of denials/rejections received from third-party payers. The clerk will manage their assigned work to ensure payer appeal/filing deadlines are met and achieve optimal payment for services rendered.
QUALIFICATIONS:
- High school diploma required
- Associate’s degree in a business-related field preferred
- Experience and knowledge of accounts receivable, medical terminology, EOBS, CPT/HCPCS & ICD-10 codes, CMS 1500, UB04, authorizations/referrals, and insurance regulations preferred.
- Experience with automated systems and strong knowledge of various PC programs including Microsoft Office, and web-based programs and research required
ACCOUNTABILITY:
Reports to Revenue Cycle Manager