| Title: | Billing Clerk |
| Description: | Summary Description:
The Billing Clerk is responsible for monitoring and maintaining patient and corporate accounts for accurate billing and timely claim processing. The Billing Clerk will assist patients regarding inquiries about their account. They will also work with insurance companies and other third-party payors to ensure that health claims are accepted, processed, and paid.
Supervision Received: Reports directly to the Business Office Manager.
Responsibilities:
1. Daily posting of insurance and patient payments to the appropriate account and date of service.
2. Contact insurance and patients regarding unpaid balances. Research, correct and resubmit any denied insurance claims.
3. Assist patients in understanding charges and payments to their accounts.
4. Researches and reports credit balances for resolution.
5. Verifies patient and insurance billing information. Processes returned mail, notes the account, and attempts to find new address.
6. Makes payment arrangements for all new patients as needed.
7. Transfer balances as appropriate between payer and patient responsibility.
8. File secondary insurances when appropriate.
9. Assist with eligibility verification by phone with insurance to assure claim payments.
10. Communicates directly with collection agencies and provides them with all pertinent data.
11. Performs other duties as assigned by the Business Office Manager.
Qualifications:
1. High school graduate.
2. Two years of college of Technical School preferred; or
3. Five years related experience and training; or
4. Five years in medical related setting.
5. Minimum of three years’ experience in Billing Office setting is ideal.
Knowledge, Skills, and Abilities:
1. Knowledge of medical billing/collection practices.
2. Knowledge of explanation of benefits analysis.
3. Knowledge of computer programs, spreadsheets, and applications.
4. Knowledge of basic medical coding and third-party operating procedures and practices.
5. Knowledge of legal and regulatory government provisions.
6. Skill in establishing and maintaining effective internal and external working relationships.
7. Ability to enter accurate data and examine insurance documents.
8. Ability to perform accurate arithmetic functions and must be comfortable working with percentages.
9. Ability to communicate effectively and politely with patients, co-workers, and others.
10. Ability to prioritize and complete multiple tasks in a timely manner.
Working Conditions:
1. Subject to varying situations including ability to understand and respond appropriately, effectively, and sensitively to special population groups, including those defined by race, ethnicity, language, age, sex, sexual orientation, economic standing, etc.
2. Frequent contact with a variety of people including prisoners and people with mental, emotional, and physical disabilities.
3. Medical office, exam room, laboratory, radiology, emergency room and professional practice settings. Frequent exposure to communicable diseases and other conditions common to rural clinic environments.
4. May require working long hours in an office environment at a computer and possibly answering high volumes of phone calls. Requires ability to handle customer or employee complaints in a professional manner.
5. May require travel between District sites.
Physical Demands:
Varied activities including moving, reaching, bending, and lifting. Requires full range of body motion including handling, moving, positioning, and transporting patients. Also requires manual and finger dexterity, and eye-hand coordination. Requires standing and moving for extensive periods of time. Occasionally moves and transports items weighing up to 50 pounds without assistance. Requires corrected vision and hearing to normal range. This position frequently requires working under stressful conditions and irregular hours. Year-round highway travel between clinics and other facilities throughout the district is required.
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this job. This document is not intended to be an exhaustive list of all responsibilities, skills, and working conditions for the persons so classified. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
How to Apply:
Interested parties should contact Teresa Lindenmeier, HR Generalist at teresal@sublettehealthcare.com. Please include an application, resume and letter of interest. Applications can be found on the Sublette County Hospital District website.
We pride ourselves in developing and retaining our team members and our team prides itself in offering the best of care, close to home! Thank you for considering this opportunity to join our team. We look forward to receiving your resume.
About Pinedale:
Nestled at 7,175 feet in a scenic alpine valley, Pinedale is surrounded by three majestic mountain ranges—the Wind River, Wyoming, and Gros Ventre Mountains. As part of the Greater Yellowstone Ecosystem, the Bridger-Teton National Forest offers endless outdoor activities, with stunning landscapes and abundant wildlife.
Rich in history, Pinedale was shaped by the Rocky Mountain Fur Trade and is home to the nation's oldest cattle drive, the Green River Drift. Here, cowboys still guide cattle through town in June and October! The Green River Rendezvous was an annual event in the 1830s. Mountain Men, Trappers, Travelers and Indians all gathered in a valley "below the Green" river and bartered, traded, sold, and swapped various items such as skins, pelts, guns, jewelry and whatever else they needed. It continues to this day with people coming from all over to see the home-town parade, experience the pageant, see how the people who shaped the rugged west made there lasting impression and mark on our town.
Nature lovers will appreciate the nearby alpine lakes, perfect for fishing, water sports, and relaxation. Pinedale is also on the Path of the Pronghorn, where you can witness one of the last great animal migrations in the Western Hemisphere.
In town, you’ll find a warm community, local shops, restaurants, and attractions like the Museum of the Mountain Man and the Pinedale Aquatic Center. With its blend of outdoor adventure, rich history, and friendly locals, it’s easy to see why we call Pinedale home.
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| Company: | Sublette County Hospital District |
| Salary: | |
| Post Date: | 12/31/2024 |
| Close Date: | Open Until Filled |
| Location: | Pinedale, Wyoming |
| Contact: | Teresa Lindenmeier, HR Generalist |
| Phone: | |
| Email: | teresal@sublettehealthcare.com |
| Website: | |
Mailing
Address: | |
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Pinedale Online Job Board • www.pinedaleonline.com/jobboard
jobboard@PinedaleOnline.com
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