Medical Billing Clerk

Portsmouth Emergency Ambulance Services, Inc
Medical Billing Clerk Job Description

Summary: A medical billing clerk is responsible for collecting, organizing, prepping and billing invoices for medical transportation services. The medical biller ensures that all of the required documentation necessary for prompt reimbursement is included with the claim prior to it being submitted to the insurance provider or payer.

Essential Duties and Responsibilities include the following. Other duties may be assigned at the discretion of management/supervisors and/or owners.

• Must pass post job offer alcohol and drug testing prior to starting assignment
• Must agree to random alcohol and drug testing per PEASI policy
• Collects all forms and documents necessary for the proper billing of each claim.
• Follows the PEASI audit sheet for collecting and organizing information for claim submission.
• Reviews the documents for accuracy and completeness and obtains any missing information.
• Works directly with the insurance provider, the patient and the healthcare provider to get a claim processed in a timely manner.
• Review accounts for insurance or patient follow-up.
• Verify insurance provider and that invoicing is accurate and in compliance with any contract discounts.
• If necessary contact the insurance provider with regards to any payment discrepancies.
• Completes scanning of documents and placement in proper electronic files.
• Completes billing statements with submission to secondary insurance or private billing to patients.
• Answers telephones in a polite, courteous and professional manner.
• Answers all patient or insurance telephone inquiries pertaining to assigned accounts.
• May need or be assigned to review or appeal any denied or unpaid claims.
• Maintains notes regarding billings or issues with payments in reference to conversations with patients or insurance providers.
• Provides a safe and welcome environment for patients and customers
• Follows all PEASI Health and Safety policies
• Documentation must be thorough and legible in accordance with PEASI standards.
• Demonstrates effective verbal communication skills when interacting with other employees, patients, and customers, and verbal and written communication
• Demonstrates ability to work as a member of a team, and individually as necessary.
• Follows all company Policy and Procedures.
• Maintains strict confidentiality regarding patient information in accordance with HIPPA regulations, as well as sensitive PEASI company information and employee information.
• Maintains a clean work area which includes the absence of clutter as well as regularly disinfecting telephones and computer keyboard and mouse to help avoid the spread of bacteria and influenza type viruses.
• Needs to empty trash cans in work area on a regular basis.

Portsmouth Emergency Ambulance Services, Inc
Medical Billing Clerk Job Description

• Must on a regular basis shred all nonessential papers which includes, notes and information that might place the employee or company in violation of HIPPA standards.
• Employee must ensure that all patient information and the privacy rights of that patient are maintained by not revealing any personal patient information to anyone not directly related to the care or processing of that patient’s protected information.
• Must be able to multi-task within the duties of a medical biller.

Education and/or Experience and/or Certificates:

• Must be of legal, hirable age based upon state and federal employment guidelines.
• High School Diploma or Equivalent.
• Secondary education or experience with medical billing is desirable.
• Knowledge of Medicare, Medicaid and Private Insurance standards is an asset.
• Proficiency with keyboarding and complete data entry is desirable.
• Knowledge of computer based software programs is an asset.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.

Physical Demands:

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 frequently required to stand, walk, sit, use hands and fingers, handle, or feel, and talk or hear. No heavy lifting is required, however, some light lifting may be expected.

Reasonable accommodations may be made to enable individuals with disabilities or modified work restrictions to perform the essential functions (i.e. an employee with a disability or modified work restrictions will be scheduled patients that are within the employees limitations or modified duty in accordance to listed restrictions)

Job Type: Full-time

Pay: $12.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Portsmouth, OH 45662: Reliably commute or planning to relocate before starting work (Preferred)

Work Location: One location

Salary : $12 - $0