Lead Patient Financial Services Clerk

POSITION SUMMARY

The primary responsibilities of the Lead Patient Financial Services Clerk include coordinating and posting all insurance payments received to patient accounts, sending secondary claims to payers, client payment posting, and self-pay payment posting. Validate, and correct as needed, auto-posted electronic payments. Separates and monitors files for all insurance companies so readily available for fiscal year end needs.

PRIMARY/ESSENTIAL DUTIES

-PFS duties: Posts accounts receivable insurance money daily in an accurate and timely fashion. Devises and maintains an orderly and accurate filing system for charge and payment batches as well as insurance explanation of benefits. Oversees that batches are accurate and payments post to the correct account. Completes and balances Accounts Receivable daily post. Reconciles bank deposits to daily receipts and oversees that deposits are completed daily. Reviews remittance advices and determines significant problems causing rejection or denial and notifies billing staff. Responsible for client billing and shadow billing tasks. Distribute claims denials to appropriate biller for review and correction. Responsible for reviewing and processing accounts with insurance credits. Responsible for ordering department supplies. Responsible for submitting service requests to EHR vendor relating to billing.

-Receptions Duties: Responsible for business office customer service, patient and staff inquiries, to be handled in a timely, cooperative, professional and efficient manner. Answers the phone when needed. Receives money on accounts from patients who present to the window and helps answer front window questions.

-Other duties as assigned.

High School diploma preferred, or equivalency and computer skills required. 3-5 years health care industry experience preferred. High degree of organizational skills necessary. Must be able to handle tasks quickly and professionally.