SHS-BILLING CLERK

Company: Sparrow Health System
Location: East Lansing
Posted on: April 16, 2024

Job Description:

Job Opportunity





Job ID:41099 Positions Location: East Lansing, MI Job Description General Purpose of Job:
Description:

Positions Location: East Lansing, MI


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.

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• 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
  
  
  
  General Requirements
  None
  
  
  Work Experience
  * See Education
  
  
  Education
  * Billing Certificate from an Accredited School/College; OR High School Diploma or GED and a minimum of 1 (one) year of medical billing experience in a health care environment
  
  
  Specialized Knowledge and Skills
  * Demonstrated knowledge of medical terminology as would normally be obtained through successful completion of a medical terminology course. * Demonstrated excellent communication and interpersonal skills. * Demonstrated knowledge/understanding of ICD-10 and CPT-4 coding. * Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job. * Working knowledge of Uniform Billing Guidelines, NCCI/MUE/OCE/LCD editing and generalized insurance follow-up workflows. * May be required to take test of billing knowledge prior to hiring. * Must possess strong analytical thinking and customer service skills. Testing will be used to identify strongest candidates. * Knowledge of UB04 Billing form - preferred
  
  
  
  
  
  Sparrow Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.
  
  Job Family
  Administrative/Clerical
  Requirements:
  
  
  
  Shift
  Days
  
  
  Degree Type / Education Level
  High School / GED
  
  
  Status
  Full-time
  
  
  Facility
  Sparrow Hospital
  
  
  Experience Level
  Under 4 Years

Keywords: Sparrow Health System, East Lansing , SHS-BILLING CLERK, Accounting, Auditing , East Lansing, Michigan