Medical Billing Clerk

Job DetailsJob Location: Utica, NY 13501Position Type: Priority AmbulanceSalary Range: $17.11 - $25.14 HourlyJob Category: Billing / FinanceDefinition:

The Medical Billing Clerk is responsible for the appropriate billing and coding of assigned accounts. Responsible for claim submission, insurance follow-up, denial management, deductible management, timely filing and incoming calls from patients and insurance payors.

Specific Duties: (some duties may vary depending on PreBill or PostBill job position)

Responsible for coding ambulance, wheelchair or stretcher transports.
Utilize and assign appropriate ICD10, HCPCS and modifiers for ambulance services to each claim.
Read and comprehend the content of the patient care report to sufficiently analyze and perform coding to each claim.
Submit claims for reimbursement to insurance carriers.
Follow up on unpaid claims and initiate claim status inquiries with insurance payers.
Work claims and claim denials to ensure maximum reimbursement for services provided.
Work with patients to develop self-pay arrangements.
Work timely filing and deductible management queues.
Meet standard productivity standards.
Demonstrate knowledge, understanding and compliance of company policies and procedures.
Demonstrate complete knowledge of proper billing and coding procedures
Demonstrate knowledge and understanding of (and compliance with) Federal, State and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.
Work as a team member.
Complete and maintain appropriate training, certification and licensure for their position.
Maintain a high level of professionalism and customer service when dealing with patients, patient families, co-workers, clients, other healthcare providers and the general public.
Notify Billing Supervisor of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.
Maintain security and privacy of all company and patient information at all times in accordance with HIPAA and all other local, state and federal regulations.
Notifies Billing Supervisor of any questions, concerns or issues regarding billing, collections or compliance matters.
Perform other duties related to billing/coding and account management as directed or needed.

QualificationsMinimum Requirements:

 High School Diploma
 Experience with Medical Coding (certification a plus)
 Must have the ability to properly perform job responsibilities as listed

Reports To:

Billing Manager

Physical Requirements:

The ability to reach, push and pull.
The ability to sit or stand for long periods of time.
The ability to use a computer keyboard and write for extended periods of time.
The ability to lift and maneuver 35 pounds without difficulty.
The ability to complete all job duties.

For this New York, United States-based position, the expected salary is $17.11 - $25.14 per hour.