Medical Billing Clerk

Reports to: Revenue Cycle Director

FLSA Classification: Full or Part-Time, Non-exempt, Hourly $20.51 - $24.60

Essential Functions:

• Assist with registration for the hospital, emergency room, family practice, and orthopedic departments.
• Assist with prenotifications for patients, working with Case Manager
• Assist with preauthorizations for various hospital services, as needed.
• Review accounts with patient to assist them in understanding charges and payments.
• Review the explanation of benefits or remittance advices to assist the patient in understanding deductibles, coinsurance, and copays.
• Educate the patient on financial policies of the hospital as well as financial assistance programs as needed. Work with the financial counseling team to provide resources to patients.
• Assist with billing and collection for the Walbridge Wing.
• Responsible for, but not limited to: generating and uploading statements, ensuring import/export includes accurate balance; reviewing balances and correction worklists; communicating with patients to resolve self-pay balances; generate and mail collection letters.
• Maintain access for insurance portals and entity portals.
• Receive and process payments.
• May assist with reviewing accounts that are eligible for bad debt collection.
• Escalate account issues to Revenue Cycle Director.
• Act as a liaison between the patient, PFS department, and other departments to ensure patient issues are resolved timely and satisfactorily.
• Cross-trained in various registration functions in order to understand the complete revenue cycle process.
• Other duties as assigned.

Education and Experience:

• High school diploma or equivalent required
• Knowledge of medical billing practices, including ICD-10, CPT, and HCPCS codes preferred.
• Knowledge of the healthcare revenue cycle preferred
• Knowledge of office operations, data entry, and filing required.

Skills and Expectations:

• Kind and professional demeanor.
• Professional and well-groomed appearance at all times.
• Communicate positively and effectively, both written and verbally, with patients, family, and staff.
• Demonstrate effective organizational skills in an evolving environment.
• Work with honesty, compassion and integrity at all times.
• Understand and adhere to the scope of service for the department and this position.
• Understand and adhere to all of PMCs policies and procedures.
• Understand and adhere to PMCs Code of Conduct.
• Adhere to the strictest confidentiality and HIPM regulations.
• Demonstrate a commitment to building and sustaining a diverse, inclusive, and equitable working environment.
• Ability to remain calm and efficient in emergency situations.
• Demonstrate strong problem-solving skills.
• Demonstrate strong emotional intelligence.

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing this job, the employee:

• Must be able to remain in a stationary position 50% of the time.
• Must be able to move and traverse about the facility 50% of the time.
• Frequently transport objects weighing up to S0lbs
• Occasionally position objects weighing up to 100lbs.
• Must be able to communicate and exchange information in a way others will understand.
• Must be able to recognize details such as color and depth within a few feet of the observer. Frequently operates computers, machinery, and other healthcare equipment. Constantly positions self to complete essential functions. May be required to wear N95s or PAPRs throughout the shift.