Billing Clerk

Position Overview: 

Job Type: Part-Time

Schedule: Flexible; 20 hours per week (Monday – Friday)

Department: Patient Accounting

Location: 3340 Hospital Rd, Saginaw, MI 48603

What You’ll Do:

The Billing Clerk will perform the full range of assignments including but not limited to:

• Verify, monitor, and correct third party payer documentation received with regards to benefits, eligibility and limitations. Analyze admitting information, gather all appropriate data and inputs into computer system. Monitor data necessary for re-billing, including, but not limited to:
  • Research rejection problems
  • Notify interdepartmental personnel for additional medical documentation, recognize medical terminology, and diagnose computer codes
  • Collect and disseminate data for re-billing
  • Review Aged A/R and Unbilled Reports monthly and rebill accounts as necessary
• Verify and review the computer generated billing reports.
• Document number of approved days and authorization numbers mandatory for payment.
• Process billings for all inpatient, outpatient, and discharged patients.
• Perform billing duties for with all insurance carriers.
• Bill both facility and professional claims.
• Review and enter patient pay amounts.
• Verify eligibility with Insurance carriers.
• Update patient's accounts when insurance coverage changes occur during billing cycle and report insurance limitations, cancellations, or exhaustion to Patient Accounting Supervisor and applicable departments.
• Analyze and interpret inpatient and outpatient payment vouchers for payments, pends, and rejections. Resubmit corrected billing within required time limits and notify the Patient Accounting Supervisor of any trends in rejections, denials, or underpayments.
• Review insurance payment vouchers for correct reimbursement amounts. Allowance the difference between billed amount and contractual/negotiated payments received.
• Enter insurance, patient information, billing and determine patient benefits and eligibility.
• Communicate on a daily basis with third party payers, patients, responsible parties, and other facility departments in regards to billing problems/inquiries.
• Prepare and track insurance Appeals