SHS-BILLING CLERK

Job Description

General Purpose of Job:

Perform duties to bring about the proper billing of all inpatient and outpatient accounts. Follow up on all accounts until paid in full or until the account balance becomes private pay.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Provide insurance companies with copies of bills, via electronic or manual billing.
• Verify that the proper demographic and insurance information has been obtained to ensure that only accurate clean bills are forwarded to insurance companies and patients.
• Handle incoming and outgoing telephone calls to patients/families and insurance companies.
• Bill secondary insurance companies as required.
• Work accounts to resolution utilizing the appropriate tools, i.e. Workstation, aging reports, special project reports to secure pmt. from responsible payer.
• Work unpaid high dollar priority balances: a) send status to secure payment; b) call insurance companies to ask for unpaid balance; c) identify and take appropriate corrective action for insurance over and underpayments; d) bill patients for private pay balances.
• Process mail pertaining to accounts.
• Responsible for providing supervisor with weekly statistics of claims submitted.
• Responsible for understanding corporate compliance rules and regulations as it relates to billing.
• Maintain confidentiality regarding patient bills & records.
• Serves as a role model for consistent demonstration of Sparrow Health System’s Customer Service Behavioral Standards of Performance, by respecting the Privacy and Confidentiality of those we serve.
• Demonstrates knowledge and respects patient, service provider, and organizational confidentiality and HIPAA Security procedures and protocols as defined under the HIPAA Privacy and Security Procedures.
• Follows established HIPAA privacy procedures when using and/or disclosing protected health information.
• Maintains and protects patients’ rights under the HIPAA Privacy standards.

Job Requirements