Billing/Insurance Clerk I at University of South Alabama / Jobsxl

Essential Functions

Calls patients to remind them of scheduled appointments, to reschedule ‘no show’ appointments and to verify demographic information for billing purposes; prepares charts and encounter tickets for scheduled clinics in accordance with written policies and guidelines; checks patients into clinic; greets patients; obtains demographic and insurance information; obtains insurance and medical records release authorization in accordance with HCFA guidelines and Risk Management policies; verifies insurance through individual insurance carrier websites and documents necessary information for billing purposes; scans and files medical records; notifies patients of non-covered services being rendered; checks patients out of clinic; reviews encounter tickets for completeness and accuracy of CPT and ICD10 codes and follows up with provider when appropriate coding and documents are not available; keys all charges into computerized billing system; collects patients’ co-payments or balances due on account and enters payments into the system; answers patients’ inquiries regarding fees and payments; prints bills on demand for patients requesting them at time of service; tracks encounter tickets daily to ensure that all clinical activities are posted, that all ‘no show’ and ‘canceled’ patients are correctly recorded on both the information system and medical records for compliance purposes, and that charges, payments and deposits balance; follows appropriate cash handling policies and procedures; schedules patient appointments for faculty and other medical providers in accordance with written policies and guidelines; answers telephone inquiries and provides basic information regarding physician qualifications, available appointment times, directions and billing requirements; screens telephone calls and connects patients to staff most qualified to handle inquiries deemed outside the scope of this position (i.e. medical, legal, compliance issues) in accordance with policies and procedures; generates referral authorization requests to other specialists following written policies and procedures; maintains medical records; files clinical data, referrals, inpatient records and test results daily; processes all medical records requests, disability forms and subpoenaed records according to HIPAA and Risk Management guidelines and policies; utilizes health network information system for patient registration, scheduling appointments, checking patients in and out and patient inquiry; ensures patient confidentiality; regular and prompt attendance; ability to work schedule as defined and overtime as required; related duties as required.

Minimum Requirements

High school diploma or equivalent and two years clerical and/or secretarial experience. Medical office experience preferred.

Working Days and Hours

Monday – Friday
8:00 a.m. – 5:00 p.m.

The University provides benefits to eligible University of South Alabama and USA HealthCare Management LLC, employees based on employment status – regular or temporary – and position FTE (hours worked per week), length of service, and other criteria. Refer to specific benefit plans for information regarding eligibility and coverage for eligible dependents. Several of the University’s benefit programs require staff to enroll within a specified period of time or wait to make changes until the annual open enrollment period.
For more information on University of South Alabama benefits go to:
http://www.southalabama.edu/hr/staffbenefits.html

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