Billing Clerk II

Union AFSCME 496.00 Full-Time/Part-Time Full-Time Open Date 9/17/2024 Closed Date 10/01/2024 Location Health Department Description

Starting Pay: $18.1459 Hourly ($37,743)

After 1st Year: $19.2510 Hourly ($40,042)

After 2nd Year: $22.2790 Hourly ($46,340)

After 3rd Year: $22.8195 Hourly ($47,465)

After 4th Year: $23.3828 Hourly ($48,636)

After 5th Year: $23.9723 Hourly ($49,862)

After 6th Year: $24.5841 Hourly ($51,135)

After 7th Year: $25.2496 Hourly ($52,519)

MINIMUM QUALIFICATIONS:

Associate degree/certification in medical curriculum

• AND- two (2) years' recent billing experience;

• OR-

High school diploma or equivalent

• AND- RHIT or CCS-P or CPC certification

• AND- three (3) years' recent experience in outpatient, Medicare and Medicaid, computerized and manual physician billing for third party payers;

• OR-

High school diploma or equivalent

• AND- five (5) years' recent experience in outpatient, Medicare and Medicaid, computerized and manual physician billing for third party payers.

ADDITIONAL REQUIREMENTS:

Must submit a copy of college transcripts and/or certification with application.

PHYSICAL REQUIREMENTS:

Must be able to perform Essential Job Duties and Functions with or without reasonable accommodations.

JOB SUMMARY: Performs professional tasks in Medicare, Medicaid and Private Insurance billing/coding process; responsibilities include charge entry, payment posting, accounts receivable and assisting with insurance appeals; must demonstrate ability to perform clerical tasks including properly formatted written communications with clients and venders; performs related work as required.

ESSENTIAL JOB DUTIES AND FUNCTIONS:

• Analyze account detail (charges, payments and adjustments) and answer detailed questions from payers and third party payers regarding claims or account status.

• Assist Supervisor and Senior Billing Clerk to identify and provide solutions for denials to obtain proper reimbursement or services.

• Process claims for insurance billing reimbursements.

• Assist medical providers and employees with direction on the usage of a specific diagnosis code, CPT code and modifier or documentation requirements.

• Assist Supervisor and Senior Billing Clerk with department compliance with governmental and other third-party payer rules and regulations governing coding and billing.

• Assist in implementing Genesee County Health Department program requirements to ensure correct and appropriate coding and billing.

• Assist with the creation of manuals and procedure documents for other clerical staff to follow as it relates to billing procedures that have been approved by the Medical Health Officer.

• Assist Genesee County Health Department employees with the correct procedure process manual for insurance verification based on provider and/or service being offered.

• Maintain accounts payable and accounts receivable log.

• Performs other related duties as directed.

ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES:

• Comprehensive knowledge of the billing process, coding and ICD10;

• Excellent PC skills.

• Working knowledge and experience with electronic billing and claims submissions.

• Experience with professional medical health billing in an office setting preferred.

• Ability to troubleshoot issues with payers.

• Knowledge of medical terminology and medical procedures as related to physician and clinical support billing codes.

• Ability to conform to departmental performance standards.

• Ability to establish and maintain effective working relationships with superiors, co-workers, subordinates, consumers and the public.

• Ability to multi-task.

• Ability to work independently, collaboratively and respectfully in a complex, multicultural work environment that values diversity, equity and inclusion.

• Ability to attend work regularly and to work under stressful conditions.

• Experience with EPIC preferred.

• Excellent written and verbal communication skills.

• Knowledge of HIPAA laws.

• Ability to maintain patient confidentiality and adhere to HIPAA guidelines and regulations.

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For more information about our benefits packages and the diverse range of departments we serve, visit www.geneseecountymi.gov.

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