Billing Clerk - Remote

Overview

This role supports the Denial Management Department in managing the denials process for client hospitals. The Clerk gathers and disseminates information from hospitals, physicians, and insurance companies related to referred claims that have been denied.

Responsibilities

• Manually enter new cases referred from clients into the database as needed
• Update the database with information gathered from correspondence
• Learn and use various applications including gAIge, Epic, Eagle, Epremis, and Medi-Tech
• Set follow-up reminders in Outlook
• Review daily reports for updates and due dates
• Send updates on document requests received throughout the day
• Fax appeals and all pertinent documents
• Fax documentation to insurance carriers via portals, email, mail, or fax
• Work within gAIge to update daily tasks assigned on the work queue
• Log into all hospital applications and insurance carrier portals every two weeks
• Submit appeals, correspondence, and medical records via carrier portals
• Scan and label correspondence received daily via mail, email, or fax
• Navigate hospital applications to obtain balances, charges, and UB documents
• Download reports from portals for updates
• Assist with the outgoing mail process
• Scan documents into the database
• Assist patients with questions related to the status of their accounts
• Use, protect, and disclose patients’ protected health information (PHI) only in accordance with HIPAA standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the minimum necessary to perform assigned duties
• Perform other duties as assigned

Qualifications

• High School Diploma or equivalent
• Courteous with a strong work ethic and ability to work in a fast-paced environment
• Clear, concise verbal and written communication skills
• Proficient in Microsoft Office applications (Word, Outlook, Excel) and EPIC
• Detail-oriented, resourceful, and analytical with the ability to multitask
• Strong organization and time-management skills
• Ability to learn proprietary databases
• Strong interpersonal skills and ability to communicate effectively at all organizational levels
• Strong problem-solving and creative skills with sound judgment and decision-making based on accurate and timely analyses
• High level of integrity, dependability, and a strong sense of urgency with results orientation
• Gracious and welcoming personality for customer service interactions

Working Conditions

• Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
• Physical demands include occasional movement around the work area, sitting, performing manual tasks, operating office equipment such as computers and telephones, extending arms, kneeling, talking, and hearing
• Mental demands include the ability to follow directions, collaborate with others, and handle stress
• Work environment noise level is usually minimal

Equal Opportunity

The employer will not discriminate against any employee or applicant based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, or any other characteristic protected by federal, state, or local law.