Available Position: Billing and Accounts Receivable Clerk     

Hours of Work: Monday through Friday, 8:00 AM to 5:00 PM, (hours may change based on needs of the office).

JOB SUMMARY

Under the direction and supervision of the Billing Department Supervisor this person will function as the primary billing and accounts receivable person. Responsible for ensuring all fee tickets for all surgeries and in-office procedures are coded correctly by the providers to maximize reimbursement and that all charges follow the CPT coding guidelines. Perform data entry of all charges, send electronic and paper insurance claims on a daily basis. Prepare and mail secondary insurance claim forms as soon as payments are received from the primary carrier. Obtain pre-authorization for all surgeries and in-office procedures per insurance carrier guidelines. Keep the front desk personnel and providers informed of the status of the authorization. Post payments daily. Make notations in the patients account indicating any denials, appeals or other information that would be helpful during follow up of past due accounts. Indicate reason for denial or code(s) being appealed. Work all appeals and re-bills on a weekly basis. Assist collection clerk in their duties when necessary.

QUALIFICATIONS

High school graduate or equivalent

Formal coding training preferred, but not mandatory

At least two years experience as a medical office coding and accounts receivable clerk; preferable in a neurologist/neurosurgery office

Training and experience on medical software, Microsoft word

Excellent telephone skills

Computer skills

Excellent organizational skills; must be able to multi-task and be deadline oriented

Work independently and be self directed

EXCELLENCE IN SERVICE

Coeur d’Alene Spine employees must consistently exhibit behavior that enhance professional performance and reflects the commitment, ethical principles, values and philosophy of the facility. Each individual must be willing to assist all co-workers with his/her duties, and be flexible in staffing patterns to ensure cost effective operation of the facility.

WORK PERFORMED

Billing Clerk

    • Ensure all fee tickets and surgeries are coded correctly by the providers to maximize reimbursement and all charges follow the CPT coding guidelines.
    • Perform data entry for all charges.
    • Send electronic and paper insurance claims on a daily basis.
    • Prepare and mail secondary insurance claims as soon as payments are received from the primary carrier.
    • Stay abreast of Medicare and other insurance carrier rules and regulations that is applicable to the practice. Keep administrator and providers informed of significant changes.
    • Obtain pre-authorization for all surgeries and in-office procedures per insurance carrier guidelines. Keep front desk personnel and providers informed of the status of the authorization. Document the authorization number in the patient’s account.
    • Reply to requests for medical records or other information from insurance carriers in a timely manner.
    • Run the Unbilled Encounter report at the end of each month to ensure all charges have been entered for the month.

Accounts Receivable Clerk

    • Post payments daily
    • Make notations in the patient’s account indicating denials, appeals or other information that would be helpful during follow up of past due accounts. Make sure you indicate the code(s) that are being appealed and the reason for the appeal.
    • Promptly prepare appeal letters to insurance carriers on denied claims as appropriate.
    • All appeals and re-bills need to be done on a weekly basis.
    • Verify deposit total matches the batch totals.
    • Maintain accounts receivable files in date order. Ensure all receipts, vouchers, etc. are attached to the batch sheet.
    • Submit any overpayment to the collection clerk for reimbursement to the appropriate payer.

Collection clerk:

    • Assume collection clerk’s duties in their absence.

Other duties and responsibilities

    • Assist co-workers as needed.
    • Prepare deposits in administrator’s absence.
    • Other duties as assigned

TO APPLY

Please submit cover letter and resume below. 

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