• Billing and Insurance Audit Clerk

    Job Locations US-MI-Chesterfield
    Job ID
    2018-1375
    Category
    Accounting/Finance
    Shifts
    Days
    Type
    Full Time (40+) per week
  • Overview

    Receive, verify and collect all payments for organization. Operate account receivable software to record all statements sent and payments received for the organization. Assists in insurance audit investigations related to rejections.

    Responsibilities

    1. Assist Billing Specialist in computing rates for services rendered to complete billing documents.
    2. Review documents to compute fees or charges due.
    3. Prepare itemized monthly resident statements and record amounts due for services rendered.
    4. Assist Billing Specialist in verifying accuracy of billing data and revise any errors.
    5. Receive and record daily accounts receivable payments. Report deposit to required disciplines.
    6. Receive payments and post amounts paid to customer accounts. Assist Billing Specialist in recording ancillary charges to residents’ accounts.
    7. Collects, organizes and maintains appropriate documentation for Medicare, Medicaid or private insurance companies.
    8. Contacts customers to obtain or relay account information.
    9. Answers resident or resident family inquiries regarding private pay, Medicare, Medicaid or private insurance billings.
    10. Admits, discharges or transfers residents on census driven system.
    11. Organizes and assists in the evaluation and collection of outstanding charges and delinquent accounts, keeping village receivables at appropriate collection rates.
    12. Consult sources such as websites, manuals or insurance company representatives to determine specific charges or information such as rules, regulations, benefit coverage or government information.
    13. Maintains filing system for records.
    14. Assist Billing specialist in maintaining Resident Trust Fund.
    15. Assists the Medical Records Supervisor in conducting investigations related to rejections.
    16. Assists medical records supervisor with pulling electronic records from Point, Click, Care.
    17. Assists with the recording and tracking of audit results.
    18. Attend and participate in all appropriate meetings and training opportunities in order to keep informed on current information and skill development.

    Qualifications

    - One year professional business office experience or equivalent combination of education experience.

    • Ability to operate a computer

    Proficient in database, spreadsheet, word processing software

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