Billing Representative  – Data Entry Clerk   

Job Title:         Billing Representative  – Data Entry Clerk                                                       

Location:         Billing Department                                                      

Reports to:      Billing Supervisor

Hours:               Monday through Friday 9:00 a.m. to 5:30 p.m.

Exemption Status:  Non-Exempt         

SUMMARY – The purpose of this position is to enter data and transmit claims to insurance carriers for payment.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Work assigned tasks on a daily basis with attention to productivity and accuracy (post charges, finalize study posting work lists, allocate copayments, and work the HL7 download and queue.
• Log batches.
• Investigate and document errors in patient accounts to ensure records are posted accurately.
• Report and discuss any problem patient accounts or relevant issues to management for resolution.
• Ability to run HL7 interface as needed.
• Complete mailing of claims forms and billing, include secondary payers.
• Participate as requested in cross-training effects to ensure maximal use of staff skills and maintain full coverage for billing functions.
• Must maintain confidentiality and comply with all HIPAA and Corporate Compliance regulations.
• Punctuality and regular attendance
• All other duties as assigned.

SUPERVISORY RESPONSIBILITIES – This position has no supervisory responsibilities

QUALIFICATIONS

• High school diploma or equivalent
• Proficient computer skills

Training and Experience

• Two (2) or more years experience in accounts receivable resolution a plus

Knowledge, Skills and Competencies

• Current, thorough working knowledge of physician third party billing regulations, processes, electronic billing, etc.
• Good data entry/computer skills
• Knowledge of ICD-10 and CPT coding
• Proficient with computer spreadsheet software
• Ability to perform mathematical calculations
• Working knowledge of business office equipment (i.e. fax machine, copier, keyboard, mouse, etc)

Physical Demands of the Position – The position requires sitting for 75% of scheduled shift as well as walking, standing, reaching and lifting folders or boxes (less than 25 pounds). Continuous use of computer keyboard, computer mouse and multiline telephone is required during scheduled shift. Using stairs and/or elevator to enter and exit Billing department

Working Conditions – The position is performed in an indoor setting in close proximity to coworkers.

Disclaimer:  The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. At any time and without advance notice, management may assign new duties, reassign existing duties, or eliminate duties.

Interested candidates can submit their resume at resumes@sjra.com. Please include the Job Title, Location, and Hours in the subject or body of your email.