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.
