RAVENSWOOD FAMILY HEALTH CENTER

Position Description

Title:Cashier/Billing Clerk

Reports To: Billing Director

FLSA Status: Non-Exempt

SUMMARY

Under the direct supervision of the Billing Director, the Cashier/Billing Clerk is responsible for the preparation and submission of billing for all payers including self-pay patients, public program, and private third party insurance; conducts accounts receivable reviews and follows-up on all unpaid accounts to ensure prompt payment. This position is also responsible for the daily collection of monies owed by patients at the time of service; making payment arrangements with patients who cannot pay and following up on those agreements

ESSENTIAL DUTIES AND RESPONSIBILITIES

To be performed in accordance with RFHC Policies and Procedures

  • Reviews assigned encounter forms for accuracy and completeness and returns incomplete forms to the appropriate clinical
  • Reviews daily schedule and notates patients that have payments due or any past due balances that need to be collected when patient arrives.
  • Enters all visit and diagnostic codes from encounter forms into the practice management system on a daily basis
  • Collects and posts same day payments against the patient accounts in the form of cash, checks, credit and/or debit cards.
  • Processes billing for services to all payers including submission of electronic claims for public programs, hard copy claims on HCFA 1500’s and UB 04’s for private insurance and hard copy statements for self-pay patients.
  • Reviews patient self pay accounts with balances and determines if any insurance can be billed for services and if so, transfers amount to the payer for the billing office to submit
  • Maintains backup of original documentation including encounter forms, copies of statements, and correspondence available for audit, upon request
  • Researches denials, unpaid or partially paid claims, and re-bills weekly to ensure prompt payment
  • Attends training seminars sponsored by the State or other payers to keep up-to-date billing and eligibility issues.
  • Responds to/answers all calls regarding patient accounts and billing questions
  • Develops payment agreements with patients with the approval of the Billing Manager
  • Attends meetings and participates in committees as requested
  • Other duties as assigned.

QUALIFICATIONS

  • High school diploma or GED required with one year billing experience in a health care organization required
  • Knowledge of billing practices required
  • Bilingual Spanish/English strongly preferred
  • Knowledge of CPT and ICD-10 coding and billing requirements for public programs and third party payers
  • Familiar with a Windows environment and specifically Microsoft Excel
  • Excellent customer service skills
  • Organized with the ability and judgment to work independently and as part of a group