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Job Description

Job Description

Description : Essential Functions

• Receives Medicare checks from electronic transmissions and manual deposits. Verify deposit balance against checks received. Manually post any exceptions as per the Explanation of Benefits. Review any exceptions and makes adjustments as necessary following Clinic and Medicare's guidelines.
• Notifies Supervisor of any changes, errors or recurrent exception in the Medicare payment process. Keeps Supervisor well informed of issues as they arise with regards to the electronic remittance and checks received.
• Receives forms from various Clinic departments to prepare for posting, scanning and indexing.
• Identifies denials for inappropriate payments. Accesses available third party and governmental on-line services.
• Possesses a comprehensive understanding of how to enter insurance information into the billing system. Remain current on new FSC's that are created and understand how they are used.

Requirements :

Required Education and Experience : High School graduate or equivalent. 1 - 2 years in a medical business office or related field. Experience with the claims adjudication process for multiple governmental agencies and private insurance carriers. Basic medical terminology. Current CPT and ICD-10 coding experience.

Additional Eligibility Qualifications : An aptitude to retain detailed information. Ability to be multi-tasked oriented, to prioritize and to produce an acceptable volume of work. Excellent organizational and problem­ solving skills. Excellent communication skills, oral and written. Basic knowledge of Windows-base computer applications. Accurate typing rate of 40 wpm. Ability to operate the following equipment : computer, copier, fax, and 10-key calculator.