Insurance Billing Clerk

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Woodlawn is looking for an Insurance Billing Clerk to join our Team!

About Woodlawn Health: Woodlawn Health is located in Fulton and Marshall County, Indiana. We are a rural health system earning the right to care for our community! Our flagship hospital and three rural clinics are located in Rochester, Indiana. We also have clinics in Akron and Argos, Indiana.

Our Mission is to provide excellent healthcare services by highly skilled staff in a compassionate and caring manner. We know that our employees are essential to the care we provide!

Our Core Values are as follows: Courtesy, Respect, Caring, Professionalism, Confidentiality, Integrity, and Accountability.

EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS:

  • Prior Healthcare Billing experience is required as well as High school diploma/GED.
  • Good communication skills and pleasant phone technique as required while handling various telephone and in-person communication with patients, guests, and other medical providers in a professional manner.
  • Must possess and demonstrate good customer service skills.
  • The right candidate should have the ability to:
    • Read, analyze, and interpret governmental regulations and documents such as safety rules, operating and maintenance instructions, and procedure manuals.
    • Plan, organize, and prioritize work in a multi-task environment where interruptions may be frequent.
    • Maintain strict confidentiality as defined by hospital policy.
    • Adapt to variations in scheduling (including but not limited to overtime, work schedule changes or low census).
    • Calculate figures and amounts such as discount interest, proportions percentages, and volume.
    • Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
    • Interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
    • Effectively present information in one-one and small group situations to patients, patients’ representatives, and other employees of the organization.
    • Type, operate a computer, and a familiarity of medical terminology.

PRIMARY DUTIES:

  • Verifies insurance and makes necessary corrections.
  • Computes the patient’s total hospital bill showing the payments to be made by insurance and by the patient.
  • Compares the UB and the 1500 forms for detailed billing accuracy.
  • Analyses itemized hospital bill for the correctness and sends to patient when requested.
  • Makes any necessary corrections on downloading lists.
  • Reviews payment listings weekly and moves accounts as necessary.
  • Responds to all patient requests & questions promptly & accordingly.
  • Verifies patients’ insurance plans and makes necessary corrections.
  • Telephones, writes, or sends a fax to insurance company to verify patient’s coverage and to obtain information concerning extent of benefits.
  • Obtains pre-certification from Medicare and Medicaid as needed, as well as Medicaid numbers.
  • Sorts and distributes incoming mail and prepares outgoing mail according to postal regulations as needed.
  • Reviews and mails all bills including all group accounts.
  • Analyzes all mail and then takes appropriate action.
  • Checks cash receipts list, pulls zero balances and files.
  • Reviews insurance reports, letters, and final notices, in order to check for accuracy.
  • Reviews daily, weekly, and monthly computer-generated patient accounting reports and then takes appropriate action.
  • Checks local paper for public notices of obituaries as well as estate filings. Contacts courthouse when necessary.

Full-time, day shift, no weekends, no holidays!  Great benefits including medical, dental, vision, paid time off, 403 (b) with match, & more!

Check out all of our openings at woodlawnhospital.org/jobs

To apply for this job please visit woodlawnhospital.org.

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