PATIENT FINANCIAL SERVICES CLERK - FULL TIME

Summary/Objective

• The Patient Financial Services Clerk is responsible for the completion of posting payments, making daily deposits, follow up with insurance carriers and patients on behalf of the Surgery Center.

Essential Functions

• Prepares and maintains follow-up activity for accounts receivable according to established policies and procedures of WCSC. Is responsible for inquiries and correspondence from patients and insurance carriers. Keeps management up to date on any issues that may arise, i.e. lack or slow payment from carriers.
• Reviews accounts that require after billing adjustments to be made, post payments and adjustments from insurance carriers and patients.
• Corresponds directly with insurance carriers regarding unpaid or short paid insurance claims to obtain settlement of claim and works with Patient Account Supervisor to resolve the issue.
• Keeps up to date on insurance carrier compensation, Medicare/Medicaid and Workers Compensation policies and procedures for reimbursement.
• Prepares patient and Insurance refunds as it relates to reimbursement based on the contract with the carrier.
• Assists Supervisor with preparation of accounts for collection and may work directly with the collection agency on individual accounts.
• Maintains filing system for all documentation to the Accounts Receivable Department.
• Performs other related duties as deemed necessary, and as assigned by the supervisor.

Required Education and Experience: Education: High school graduate or equivalent

Preferred Education and Experience: Two years of directly related accounts receivable experience. Previous healthcare experience