Job Title: Billing Clerk

Reports to: Patient Services and Payment Posting Lead and Director of Business Services

Supervises: N/A

Summary Description

This position is responsible for accurately entering information necessary to process claims in a timely fashion. Answers basic patient questions regarding their accounts. Provides customer service to patients via telephone.

This position is 8:30 a.m. to 5:00 p.m., Monday through Friday. Click here for FT benefit information.

Essential Functions

• Prints, sorts, verifies, and mails all paper claims.
• Assists with patient phone calls.
• Scans daily correspondence and handwritten appeals for Claims Representatives.
• Works HCFA Review in the billing system daily and makes any corrections needed.
• Works Statement Review in the billing system daily and makes any corrections needed.
• Maps referring providers in Fast Translate daily or as needed.
• Works Clearinghouse rejects daily or as needed.
• Maintains incoming money log for accuracy and communicates deposits to Payment Posting staff.
• Runs postage for outgoing mail, as necessary.
• Processes and sends W-9s.
• Acts as a backup for all receptionist duties; all phone duties, greeting visitors/vendors, including answering and transferring incoming calls at the front desk in a professional, courteous manner.
• Acts as a backup for all payment posting duties.
• Interfaces with Lead regarding any and all department concerns.
• Attends regular staff meetings and complies with all company policies and procedures.

This job description reflects management’s assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned by administration.

Employment Standards

Knowledge:

Business-specific knowledge: Colorado Springs Radiologists, P.C. policies and procedures, business-specific software, safety regulations, basic ICD-10 and CPT coding and basic medical terminology. Experience working with claims and insurance denials.

Industry-specific knowledge: Laws and regulations pertaining to medical records and patient confidentiality. Understanding of managed care and other insurance billing.

Mastery:

Specialized equipment: Computer, working knowledge of Microsoft Windows and other Microsoft desktop productivity software.

Abilities:

Ability to: work independently with minimal supervision; organize and prioritize work and complete within established, reasonable time frames; follow verbal and written instructions; establish and maintain professional working relationships with staff, physicians, management, patients and external contacts; pursue educational and training opportunities to continually add to personal and professional growth in knowledge, skills and abilities pertaining to this position; maintain strict confidentiality of patient, business and employee information at all times; exercise professional judgment and perform all duties in compliance with medical ethics and OSHA standards.

Education/Experience/Licensure/Certification: High School Diploma or GED required. One to three years in the insurance billing industry or more than one year with the Company.

Desirable or Special Qualifications: N/A

Physical and Mental Requirements:

Position: Billing Clerk

NOTE: These are physical and mental requirements of the position as it is typically performed. Inability to meet one or more of these physical or mental requirements will not automatically disqualify a candidate or employee from the position. The Company will make reasonable accommodation for qualified individuals with known disabilities, unless doing so would result in an undue hardship to the Company or a direct threat.

Physical Requirements

Mental / Reasoning Requirements

Work Environment

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. These statements are not intended to be an exhaustive list of all responsibilities, duties and skills of personnel so classified, nor are these statements intended to create a contract of employment between the employee and Colorado Springs Radiologists, P.C. Colorado Springs Radiologists, P.C. is an at-will employer.