Billing Clerk, Full-time, Days, EWCH, Murphy, NC

Job Summary:
To accurately and timely prepare claim for submission to third party carriers and intermediaries. To follow claims through the electronic process and review and correct according to the Submission Index. Retrieve and analyze trend reports and make corrections and resubmissions as required. Communicate with Vendor (CPSI) reporting problems or concerns with transmission of files. Responsible for following and applying updates according to Intermediaries. Must be detailed oriented, maintain high level of accuracy and productivity with good communication skills.

Education:
Required:
High School graduate or GED

Experience:
Required:
One year experience in health insurance billing, with an understanding of computer requirements/programs required for appropriate application.

Position Requirement(s): License/Certification/Registration
Required:
None

Department Position Summary:
To accurately and timely prepare claim for submission to third party carriers and intermediaries. To follow claims through the electronic process and review and correct according to the Submission Index. Retrieve and analyze trend reports and make corrections and resubmissions as required. Communicate with Vendor (CPSI) reporting problems or concerns with transmission of files. Responsible for following and applying updates according to Intermediaries. Must be detailed oriented, maintain high level of accuracy and productivity with good communication skills.

Job Duties:
Maintain control of unbilled, billed and unpaid inpatient and outpatient claims for specific financial types.
Review files daily for errors, transmission issues, and reviewing final reports for accuracy with all claims.
Submit claims with errors to proper personnel for correction.
Prepare claims daily for submission to intermediaries and carriers electronically.
Generate reports and monitor unpaid claims, denied claims and unbilled claims on a daily basis.
Work with vendor to improve the flow of clean claims, moving Auto Bill to an acceptable percentage.