Full time onsite - BASIC PURPOSE OF THE JOB The Business Office Clerk is responsible for maintaining current, timely, and accurate patient accounts receivable to include billing, filing, recording payments and making other adjustments as necessary. CONTACTS Age of Patient Populations Served (check all that apply) ___X___ Neonates 1 – 30 days ______ No patient contact ___X___ Infants 30 days – 1yr. ___X___ Children 1 – 12 yrs. ___X___ Adolescents 13 – 18 yrs. ___X___ Adults 19 – 70 yrs. ___X___ Geriatrics 70+ Internal Contacts (check all that apply) ___X___ Patients ___X___ Providers (i.e., physicians; clinical staff) ___X___ Staff (i.e., clinical and admin support staff) ___X___ Volunteers ___X___ Others: HIM personnel system wide External Contacts (check all that apply) ___X___ Patients ___X___ Providers ___X___ Vendors ___X___ Community agencies and advocates ___X___ Regulatory agencies ______ Others: _______________________________________________ OVERTIME STATUS ______ Exempt (salaried – not eligible for overtime) ___X__ Nonexempt (hourly – eligible for overtime) JOB REQUIREMENTS Education • High School Diploma or GED Equivalent; and • Preferably on years’ experience in billing experience and experience in Microsoft word & excel. Health care billing experience preferred. Minimum Work Experience • Three (3) to six (6) months on-the-job training as required to attain proficiency of performance of assigned duties and responsibilities. Required Skills, Knowledge, and Abilities • Must have knowledge of medical terminology ICD-10 and CPT codes as pertains to billing. • Must be familiar with UB04 and HCFA competition. • Must be computer literate in Word and Excel. • Ability to operate routine office machines, including but not limited to postage meter, typewriter, display terminal and terminal printing, adding machine and fax machine. PHYSICAL REQUIREMENTS Indicate the appropriate physical requirements of this job in the course of a shift. Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position. General Activity Number of Hours 6–8 4–6 2–4 1–2 None Stand/Walk ____ _____ _____ _X___ _____ Sit __X_ _____ _____ _____ ____ Drive ____ _____ ______ _____ _X__ Motion Up to 1/3 of time 1/3 or more of time Bend _X___ _____ Squat _X___ _____ Crawl _X___ _____ Climb _X___ _____ Reach _X___ _____ Lift _X___ _____ Carry _X___ _____ Push _X___ _____ Pull _X___ _____ Use of Hands/Feet Gross Motor Precise Motor Function Function (Or Fine Manipulation) Right Hand _X____ _X____ Left Hand _X____ _X____ Right Foot _X____ _X____ Left Foot _X____ _X____ Weight Lifted/Force Exerted Show how much weight or force and how often by checking the appropriate boxes. Up to 1/3 of time 1/3 or more of time Up to 10 pounds _X___ _____ Up to 25 pounds _X___ _____ Up to 50 pounds _¬___ _____ Up to 100 pounds _____ _____ More than 100 pounds _____ _____ Body Fluid Exposure _____ Yes _X___ No List any other physical requirements: Must be able to sit and type for extended periods of time. Classification of physical duties: Light/Medium/Heavy Physical Demand Level MENTAL AND EMOTIONAL REQUIREMENTS Indicate the mental and emotional activities required of this job in the course of a normal shift (check all that apply). _X___ Handles multiple priorities _X___ Independent discretion/decision making _X___ Makes decisions under pressure _X___ Manages anger/fear/hostility _X___ Manages stress appropriately _X___ Works alone effectively _X___ Works in close proximity to others and/or in a distracting environment _X___ Works with others effectively ESSENTIAL FUNCTIONS Essential functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards. • Interviews patients, relatives or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor. • Communicates with ancillary services to determine that appropriate charges have been made. • Posts late charges, anesthesia/CRNA charges, payments and adjustments daily to proper patient accounts. • Correct submission of claims to correct payor and address in time frame set by policies and procedures. • Performs cashier duties, e.g., receipts of payments and issuance of receipts, collection of monies from other areas and prepares daily bank deposit. • Maintains applicable files and reports of adjustments to accounts receivable. • Maintains required registers of Medicare, Medicaid, Private Insurance, Workers Compensation, Central Collection Services and others as necessary. • Contacts patients, doctors, or others for information necessary to properly complete insurance or other type billings, and rebilling in the prescribed time frame. • Answers inquiries on patient accounts and advises patient on insurance benefits within HIPAA guidelines. • Clears with Health Information Administrator, before preparing and submitting, all required medical data with billings. • May assist with preparation of advance deposit memoranda and recommended account write-offs. • Prepares required reports as necessary. • Types memos, correspondence, billing forms, etc., and operates postage meter, fax machine, computer terminals and printers. • May prepare out-going mail. • May assist Admissions as well as other MPAS departments. • Performs other related duties as assigned.