Insurance Billing Clerk

Job DetailsJob Location: OCH Business Office - Hartford, KY 42347Position Type: Full TimeJob Shift: Days Principal Responsibilities and Competencies: o Managing the follow-up and collections of professional claims for the clinics. o Assist in filing insurance claims, determining write offs, and resolving coding issues. o Meeting monthly collection goals by maintaining aged AR balances greater than 90 days old at under 12% of total assigned insurances. o Following up daily to resolve denied and non-covered claims/services by calling insurance companies, using payer websites, and working with provider representatives to have claims reprocessed o Filing disputes and appeals, when necessary, with supporting documentation. o Utilizing provider portal websites to check eligibility, claim status, authorization information, member COB files, etc. o Reviewing and resolving claims in the denial management worklist o Working with Payer Representatives to problem solve ongoing issues and stay educated on any updates from the payer. o When necessary, billing secondary professional claims either electronically or by paper claim submission. o Working credit balance worklist o Contacting patients to resolve coverage or billing concerns when necessary. o Participating in educational activities and staff meetings when necessary. o Maintaining confidentiality and adheres to all hospital policies, including HIPPA guidelines. o Other duties as assigned.   Work Environment: Office setting Physical Demand: Walking, frequent sitting at desk, occasionally stair climbing, occasionally lifting, looking at computer screen, writing. Schedule: Monday through Friday; 40 hours. Travel: Occasionally travels from off-site business office to hospital or clinic locations  QualificationsHigh School Diploma or Equivalent (May be allowed to sign a GED agreement to obtain within 6-months) Preferred experience in insurance billing and follow-up.