Under the supervision of the Billing and Reporting Manager, this position is responsible for entering payments, monitoring, identifying and resolving issues related to account receivables. Examines account receivable reports to determine unpaid claims, investigating unpaid third party claims for possible rebilling.

Essential Functions

1.*   Keeps up to date on all changes to insurances based on contracts, industry, or new regulations. *  2.   Monitors and posts electronic funds transfers and electronic remittance advices and status of manual insurance payment entry for timely processing.  3.   Works through and finds solutions for denials and zero payments from third party payers.  4.   Monitors and addresses Claim Remedy rejections.  5.Processes first and third party paper payments, posts to system.  6.Runs payment reports, and reconciles to payments received and entered.  7   Runs error and rejection reports by insurance carrier and makes necessary adjustments or corrections.  Assures claims are disputed or rebilled in a timely fashion.  8    Runs and works the Account Receivable reports by insurance carrier finding resolutions as to non-payment or account or making appropriate adjustments.  9Prepares, records, and maintains Billing and Reporting spreadsheets for tracking purposes. 10Acts as back up for Charge Entry Clerk.

Other Functions:

• Performs other duties as assigned
• During a public health emergency, the employee may be required to perform duties similar to but not limited to those in his/her job description.

(The above statements are intended to describe the general nature and level of work being performed by people assigned this classification.  They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.)   

Employment Qualifications

Education: High school graduation or equivalent with specialized or technical training generally acquired through seminars, workshops, which cumulatively is viewed as equivalent to 12 credits or less of college.   Certified Professional Coder (CPC) preferred.   Experience: *1 to 2 years' experience with medical billing experience, 1 to 2 years' experience with payment posting and denial follow up.  Knowledge and experience of computer software and billing systems.   *Other Requirements:     (The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.) 

Requirements and Working Conditions

Physical Requirements:*  *

• Ability to access office files. 
• Ability to enter and retrieve information from computer. 
• Ability to access records and documents of the department. 
• Ability to operate copy machines and other office equipment. 
• Ability to stoop, kneel, and crouch to retrieve and put away supplies and materials. 

• Ability to use a step stool to reach supplies. 

    (This job requires the ability to perform the essential functions contained in this description.  These include, but are not limited to, the requirements listed above. Reasonable accommodations will be made for otherwise qualified applicants unable to fulfill one or more of these requirements.)   Working Conditions: