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Billing Clerk

Company: Beaumont Hospitals
Location: Royal Oak
Posted on: May 3, 2021

Job Description:

GENERAL SUMMARY:

Support the department's revenue cycle activities to be compliant with insurance changes and coding changes for nuclear medicine procedures and how it affects hospital revenue. Assist PET schedulers with daily activities as needed. Follows Beaumont philosophy of Patient and Family Centered Care at all times.

ESSENTIAL DUTIES:

  1. Manage & support revenue/charge/capture process, including on-line charge entry and error correction/recovery. Collaborate with the department Facility Business Manager regarding Code Correct updates relating to codes and reimbursement.

  2. Assist with routine billing/reimbursement audits of all accounts.

  3. Resolve rejections/billing edits as identified in edit reports, rejection queues, and rejection reports, etc.

  4. Assist with requests from other Beaumont sites regarding coding, rejections, and insurance issues. Work with the billing department on the status of claims.

  5. Support schedulers/office coordinators in writing up orders, answering phones, obtaining documentation from referring physician offices and serve as a backup during benefit time off.

  6. Direct visitors and delivery personnel.

  7. Enter charges for supplies, equipment, etc.

  8. Reconcile vendor requisitions against patient accounts.

  9. Handle patient insurance issues and assists with billing-related patient questions/concerns.

This document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described.

STANDARD QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

A. Education / Training:

  • High School diploma or GED equivalent.

B. Work Experience:

  • Medical billing experience; experience with follow up/back-end billing preferred. Knowledge of medical terminology helpful.
  • Excellent telephone skills.
  • Prior experience with revenue capture.

C. Certification, Licensure, Registration:

  • None

D. Other Qualifications:

  • Knowledge of MS Office 2013, EPIC and MS Outlook. Tact and discretion in personal contacts both external (patients, insurance companies, PCP's) and internal (Hospital Departments such as cashiering, billing and IT).

Keywords: Beaumont Hospitals, Royal Oak , Billing Clerk, Other , Royal Oak, Michigan

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