Description

SEES is looking for a File Clerk to join our Gallatin team!

SEES Group operates multi-specialty medical practices and ambulatory surgery centers across the Southeastern United States and US Territories. Working with community-based Optometrists and Physicians, we provide patients with the highest quality medical and surgical eye care they need close to home. Our organization’s shared values include integrity, respect, service, compassion, and excellence!

SEES Group recognizes that our employees are our most important asset. Because of this, we strive continuously to encourage our staff to live their healthiest life by providing benefits, perks, resources, and programs to assist with managing both their physical and mental health. We offer access to an employee assistance program for those who may need mental health, legal, or financial assistance. Also, we are currently offering a quarterly “Stress Free Day” to full time staff members where employees can take a paid day off to focus on their own wellness and mental health. 

Aside from those fantastic benefits, we also offer medical, dental, and vision insurance; 7 paid holidays; employer paid life Insurance; a robust paid-time allotment; voluntary products such as short and long term disability coverage; and a 401k retirement plan with a generous employer match. We offer certification programs to clinical staff to assist in professional development. Lastly, we offer employee service awards to our tenured staff members to recognize our appreciation for their continued service to our organization.

The Billing position supports team goals, values and philosophy by exhibiting the following behaviors: excellence, quality service, commitment and accountability. As a member of the team, performance includes demonstration of the following accountabilities: communication, teamwork and job knowledge.

POSITION SUMMARY

The Billing position coordinates all aspects of the insurance department in the daily operation of the facility in accordance with Federal, State, and facility policies and procedures.

ESSENTIAL FUNCTIONS include the following:

• Promotes the mission, vision, and values of the organization

• Proficiently operates the telephone and computer system

• Verifies insurance coverage

• Notifies patients prior to surgery of their portion of payment

• Gathers deductible/copay information and communicates to admitting regarding monies to be collected from patient

• Enters patient charges and posts payments to patient accounts

• Processes payments collected

• Processes patient statements monthly

• Follows up on denied claims

• Assists with month end activities

• Protecting the patient’s rights, dignity, and privacy

• Participates in the performance appraisal process

• Uses problem-solving and conflict resolution skills to foster effective work relationships with team members

• Maintains required competencies

• Maintains knowledge of and follows policies, procedures, Code of Conduct, and all Federal and state rules and regulations related to the position. • Completes all required compliance training.

• Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, either verbally or in writing.

SUPERVISORY RESPONSIBILITIES

None

KNOWLEDGE, SKILLS, & ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Client oriented.

• Actively participates in the development of a healthy work environment.

• Uses interpersonal skills to establish and maintain healthy interpersonal relations, which include functional trust, positive feedback, and constructive criticism.

• Good communication skills: oral and written.

• Above average ability to handle multiple simultaneous tasks and phone calls while maintaining a professional courteous demeanor.

• Must be able to handle patient confrontations in a positive manner.

• Ability to handle emergency.

• Ability to read/understand insurance claims/EOB’s etc. as applicable.

• Above average ability to problem solve, solution and detail oriented.

• Ability to type 40 wpm, use standard office equipment and be computer literate.

• Knowledge of medical terminology and insurance terms

• Working knowledge of health care environment and insurance processing with computerized software.

• Knowledge of insurance plans, policies, and procedures

• Ability to adapt to changing insurance regulations

• Ability to perform tasks in a timely manner

• Ability to speak, read, and write in English

• Ability to work well under pressure and accept additional assignments willingly

• Ability to work flexible hours as needed to accommodate workload

• Ability to concentrate, think, and learn

• Ability to hear, see, sit, stoop, kneel, crouch, reach, lift, push and pull

EDUCATION AND/OR EXPERIENCE

High School diploma or GED. Minimum one (1) year experience in computerized appointment scheduling. Two years medical clerical experience preferred. BLS is a plus. All employees must be able to provide proof of identity and right to work in the United States.

Qualifications