Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
<p>Your responsibilities in this role</p><p>· Review, evaluate, and process bills or invoices for services rendered</p><p>· Evaluate billing documents and other data for accuracy and completeness, obtaining missing or correct data when necessary </p><p>· Build financial controls and procedures</p><p>· Work closely with other functional teams to ensure data quality and consistency</p>
Position Summary: We are seeking a detail-oriented and highly organized Billing Clerk to join our accounting department. The ideal candidate will have experience in legal billing processes, time entry management, and client invoice preparation. This role requires a high degree of accuracy, the ability to meet strict deadlines, and strong communication skills to coordinate with attorneys, paralegals, and clients. <br> Key Responsibilities: Prepare, review, and process monthly client invoices in accordance with attorney instructions and client billing guidelines. Input, edit, and verify attorney time and expense entries in the billing system. Generate pre-bills, distribute to attorneys for review, and make necessary edits. Ensure compliance with client-specific billing arrangements, including alternative fee agreements and e-billing platforms. Submit invoices through electronic billing systems (e.g., LEDES format, e-billing portals) and monitor for acceptance. Track, research, and resolve billing discrepancies or rejected invoices. Maintain accurate billing records and support month-end and year-end closing processes. Communicate professionally with attorneys, support staff, and clients regarding billing questions. Assist with accounts receivable follow-up as needed.
