Job Details:

The Billing Clerk acts as the liaison between the billing department and clinic patients. Collect all necessary billing information, insurance verification, and signature on appropriate forms and enter this information into the hospital computer system. Sets fees for co-payment and self-pay patients.

RESPONSIBILITIES:

Maintains financial accounts on automated systems. Acts as liaison with Admitting Office, Business Office, and Medical Records, to provide and obtain updated billing information. Responds to inquiries from patients, patient's family, departmental staff, insurance representatives, and third party payers in writing or by telephone. Corrects and trends electronic denials and suspended and rejected claims from Medicaid or third party payers. Investigates and resolves account discrepancies and determines potential insurance/patient refunds. Investigates denials, follows up with additional information, and rebills or adjusts as necessary. Performs cash posting duties and posts vouchers from various commercial insurance companies; identifies and corrects errors, verifies posting when receipt received from cash. Photocopies and refers denials for follow up. Photocopies and mails Explanation of Benefits forms to patients with co-pays. Reviews reports for delinquent accounts over 180 days, and follows up by re-billing or making account adjustments. Utilizes specialized computer software, including uploading data into McKesson for cash posting and E?Paces for Medicaid. Balances checks and receipts from patients related to Medicaid spend down. Maintains electronic and manual financial records related to payments from patients. Prepares cash and checks for deposit, and maintains records of deposits. Maintains confidentiality of patient information. Effectively uses automated systems to perform work assignments. Performs other duties as assigned.

QUALIFICATIONS / REQUIREMENTS:

Minimum two years experience in medical billing and customer service in a healthcare setting including utilization of medical billing computer software required · Experience in researching patient accounts and reconciling accounts receivable issues with finance department required. Knowledge of Medicare, Medicaid and third party regulations, billing systems. Acute Care setting preferred. Must have ability to work with numbers. Must possess computer skills. Must be able to deal with the public. Must be a team player.

EDUCATION:

A high school diploma or equivalency required

OTHER:

If applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

About Us:

Good Samaritan Hospital

Good Samaritan Hospital in Suffern, NY, is a 286-bed hospital providing emergency, medical, surgical, obstetrical/gynecological and acute-care services to residents of Rockland and southern Orange counties in New York; and northern Bergen County, NJ. The hospital is home to a recognized cardiovascular program, comprehensive cancer-treatment services, the area’s leading Wound and Hyperbaric Institute and outstanding maternal/child services that includes a Children’s Diagnostic Center. Good Samaritan Hospital also provides social, psychiatric and substance-abuse services and its certified home-care agency supports residents of the Hudson Valley and beyond.

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