Billing Accounting Clerk II

Overview

The Billing Accounting Clerk II oversees cash postings, reconciling daily cash deposits to the billing system and bank. Posts explanations of benefits (EOBs), electronic remittances, and patient checks to individual accounts in the billing system. Interacts with internal and external stakeholders in a timely and professional manner.

Responsibility

1. Participate in the Quality Assurance plan and comply with all CLIA and HIPAA regulations.
2. Oversee credit card reconciliation and suspense management.
3. Accurately and timely enter denial reason codes to patient accounts within the billing system.
4. Research and manage open batches and resolve PLB batches.
5. Identify and resolve visible EDI issues, starting the process for enrollment and tracking the resolution.
6. Conduct Xifin case management for existing issues to prevent duplicate cases and to apply resolution to payors across all business units.
7. Assist in new hire/ongoing/process training with Billing/Accounting Coordinator(s).

Qualifications

1. High school diploma or GED equivalent required.
2. 2+ years of experience working in a medical office, laboratory, accounting, banking, or health insurance setting.
3. Demonstrated subject matter expertise in a job-related function.
4. Dependable, detail-oriented, and professional, with the ability to work to meet daily and monthly deadlines.
5. Excellent interpersonal, communication, and teamwork skills.
6. Ability to type 40 WPM and possess excellent computer skills.
7. Working knowledge of ICD-10, CPT, and HCPCS coding highly preferred.

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Physical Requirements

Lifting Requirements -light work or exerting up to 20 pounds of force frequently. Physical Requirements -stationary positioning, moving, operating, ascending/descending, communicating, observing, pushing or pulling, and reaching. Use of equipment and tools necessary to perform essential job functions.