Billing & Insurance Clerk II

Responsibilities

Primary Job Functions:

Claim Processing and Reconciliation:

• Posts charges, payments, and adjustments to patient accounts in an accurate and timely manner.
• Verifies patient demographic and billing information.
• Verifies patient insurance eligibility to ensure information is current and accurate.
• Responds to patient balance and billing inquiries in a prompt manner.
• Key charges into electronic billing system and payer websites when appropriate.
• Collects patient co-payments or balances due on account and enters payments into billing system.
• Processes and files billing documents as required.
• Provides internal training regarding the billing process.
• Works cooperatively within the department to resolve problems regarding billing and collections.
• Assist with medical bill processing oversight.
• Works billing reports and third-party vendor reports related to the billing process.
• Meets or exceeds department productivity standards.

Supervision and Consultation:

• Seeks supervision and consultation as needed
• Ability to work schedule as defined and overtime as required.
• Accepts and employs suggestions for improvement
• Actively works to enhance skills

Customer Service and Workplace Conduct:

• Treats consumers with care, dignity, compassion and respect
• Courteous and respectful towards consumers, visitors and co-workers
• Respects consumers’ privacy and confidentiality
• Is pleasant and cooperative with others
• Assists consumers and visitors as needed
• Personal values don’t inhibit ability to relate and care for others
• Is sensitive to the consumer’s needs, expectations and individual differences

Administrative and Other Related Duties as assigned:

• Actively participates in Performance Improvement activities
• Actively participates in AltaPointe committees as requested
• Completes assigned tasks in a timely manner
• Works in a cooperative manner with other AltaPointe employees
• Follows AltaPointe policies and procedures
• Receives and responds to inquiries of accounting matters promptly and courteously
• Assists with performance of duties of other accounting staff in periods of absence
• Performs other duties as assigned

Qualifications

High school diploma or equivalent. Two years’ experience working in an inpatient or outpatient medical billing office required. Experience with behavioral health, substance use, or primary care a plus. Strong computer skills required. Medicaid, Medicare, or Blue Cross Blue Shield billing experience preferred.