Clerk ( Financial )

Serves patients and staff by providing timely assistance and information regarding accounts and claims.

Job Duties:

• Responsible for daily reviewing and working claims edits and reports
• Review claims for accuracy and readiness for submission
• Submitting insurance claims to various payers electronically and/or paper
• Working on claims submission system to release clean claims to payers
• Review and work denial management system to resolve payment issues
• Follow-up on delayed claim payments by calling insurance companies
• Working credit balance report to resolve overpayments
• Dealing with patients and family members accounts and making payment arrangements

Education:

High school diploma or GED required. Associates degree preferred.

Training/Experience:

Previous Experience is Highly Desired.

Skills/Qualifications:

• Telephone etiquette
• EMR/EHR Experience
• Customer Service
• Insurance payer requirements
• HIPPA compliance
• Attention to Detail
• Knowledge of Claim Submission Process
• Quality Focus