Job Announcement
Position Title: Billing Clerk
Department: Fiscal
Supervised By: Billing Manager/Coder
Location: Alpine
Status: Non-exempt
Posted: November 2022
Closing Date: Until Filled
Compensation: $17.64 - $24.35/Hr DOE
Grant: N/A
Hours: Full time, Monday-Friday, 8:00AM-4:30PM

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GENERAL STATEMENT OF RESPONSIBILITIES*:
Under the supervision of the Lead Biller, the Billing Clerk will provide assistance with billing and clerical support services, as well as receptionist functions to the Billing department.

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SPECIFIC DUTIES AND RESPONSIBILITIES*:

• Insurance verifications.
• Insurance follow-up and inquiries.
• Coordination of patient benefits.
• Prepare and submit billing data and medical claims to insurance companies.
• Follow-up on missed payments and resolve financial discrepancies.
• Examine patient bills for accuracy and request any missing information to process rejected claims.
• Investigate and appeal denied claims.
• Run and review patient account statements monthly for medical, behavioral health, and dental.
• Ensure proper balancing or all outstanding account balances with collections and denials.
• Help patients develop patient payment plans.
• Assist patients/providers with general insurance questions and benefits coverage.
• Instruct patients how to contact their insurance carriers with questions and coverage.
• Files and maintains an efficient filing system of patient information.
• Collect co-pay payment and other patient payments
• Ability to work a flexible schedule may be required based on need.
• Other duties as assigned.

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QUALIFICATIONS*:
Education/Experience: Certificate from a medical institute or an Associate of Arts or Science Degree and at least two (2) years of experience in Medical/Dental/Pharmacy field. Billing and collection experience preferred. Knowledge of medical terminology, anatomy and physiology, CPT, HCPCS, andICD-10 coding experience needed. NextGen Healthcare EHR/EMR experience preferred.
Licenses/Certifications: A valid California driver’s license required with application submission and must be maintained throughout employment. Applicant must be insurable under SIHC vehicle insurance policy at the time of hire and throughout employment.
Certifications and/or licenses appropriate to the positions required education and profession must also be valid and maintained.
Character: Applicants must have a reputation for honesty and trustworthiness. Must be responsible and able to exercise good judgment, accept administrative supervision, pay attention to detail, follow instructions, including the ability to interact effectively and communicate with people in a professional and courteous manner. Must be highly confidential and work as a team with other staff. Applicant should be sensitive to client’s needs.
Other: Applicants must successfully pass a pre-screening, including a tuberculin skin test or x-ray and a blood/urine drug screening test. Health must be adequate to perform all duties of the position. Applicant must complete SIHC Application and Authorization Form, both must be submitted to Human Resources prior to the close date indicated.
INDIAN PREFERENCE:
INDIAN PREFERENCE: In the filling of any SIHC job vacancy, preference may be given to qualified Native American Indians, pursuant to the Indian Preference Hiring Act, 25 USC 472, unless other laws require the filling of a vacancy without regard to Indian preference (e.g. Public Law (P.L.) 94-437, “Indian Health Care Improvement Act (IHCIA). To receive Indian preference for any SIHC position, the applicant must be enrolled, or be eligible for enrollment, as an American Indian with their Tribe, or must be certified as an American Indian from the designated Tribal Representative. Applicants claiming Indian preference must attach verification of their claim to the SIHC application, including Certification of form BIA-4432, which is available from the SIHC Human Resources Department. If verification is not or cannot be verified, the applicant will not receive Indian preference for purposes of the interview.

Job Type: Full-time

Pay: $17.64 - $24.35 per hour

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