Job Details

Department Name: Billing

Position Title: Accounts Receivable/Billing Clerk

Position Reports to: Revenue Cycle Coordinator

FLSA Requirements: Non-Exempt

Date Issued:

Location:

JOB STATEMENT/SUMMARY

Compiles data and prepares invoices and bills by performing the following duties.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES OF THE POSITION
• Print and prepare all paper primary and secondary insurance claims for mailing.
• Prepare and transmit all electronic billing for primary and secondary insurance claims.
• Post payments from mail per Accounts Receivable Policy and maintain accurate records

and reports.
• Correct returned claims or route to appropriate personnel in a timely manner.
• Print patient statements and collection letters monthly according to Collection Policy.
• Write-off overdue accounts monthly prior to the closing of the month after collection efforts

have been made in accordance with the Collection Policy.
• Fill out overpayment forms for Medicare, Medicaid, and commercial insurance as

necessary in accordance with regulating bodies.
• Call insurance companies to clarify incorrect remittance, duplicate payments, etc.
• Handle billing calls from third parties, payers, and patients.
• Prepare and send refund checks to patients or insurance companies.
• Credential new providers with necessary insurance companies and re-credential existing

provides as required.
• Maintain records for Medicare Bad Debts and give to accounting firm when yearly audit is

done.
• Ensure that we are receiving and sending electronically to all insurance companies that

have electronic capabilities.
• Maintain current medical coding and diagnosis information for appropriate billing practices.
• Provide direction to front office staff to assure accurate data entry into CHIS.
• Conduct self in professional manner and manage conflict quickly and in a direct and

respectful manner.
• Maintain good working relationship with co-workers.
• Employee will adhere to all parts of Coplin Health Systems compliance program's

mandates, timelines, and activities.
• Employee may be required to perform other duties as assigned or when necessary. If

such work becomes a permanent and regular part of the job, a revised job description will

be presented.

JOB REQUIREMENTS AND PREFERRED QUALIFICATIONS

Competencies

• Communication (spoken and written)
• Confidentiality (according to HIPAA guidelines)
• Professionalism (with patients, colleagues, and others)
• Excellent Customer Service
• Computer Skills
• Medical Terminology
• Reasoning Ability
• Planning/Organizing
• Cultural Competence (sensitivity to the mission of CHS)

Education (level and type) and Related Work Experience

High school diploma or general education degree (GED): and one to three years related experience and/or training; or equivalent combination of education and experience. Knowledge of and experience using a computer. Knowledge of medical terminology is required.

SUPERVISORY RESPONSIBILITIES

This job has NO supervisory responsibilities.

DISCLAIMER

This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties and responsibilities to this job at any time.

PHYSICAL/ENVIRONMENTAL DEMANDS

The table below shows how much on-the-job time is spent in the following physical activities:

Activity

None

Under 1/3

1/3 to 2/3

Over 2/3

Standing

X

Walking

X

Sitting

X

Using hands to finger, handle or feel

X

Reaching with hands and arms

X

Climbing or Balancing

X

Stooping, kneeling, crouching or crawling

X

Talking or hearing

X

Tasting or smelling

X

Driving

X

Lifting up to 25 pounds

X

This position is described as light physical activity job. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected. This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers and smartphones. The noise level in the work environment is usually moderate with frequent interruptions.

Conditions of Employment

Security and Background Requirements

If not previously completed, a background security investigation will be required for all applicants. Appointment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a background security reinvestigation or supplemental investigation may be required at a later time. Applicants are also advised that all information concerning qualifications is subject to investigation. False representation may be grounds for non-consideration, non-selection and/or appropriate disciplinary action.

Department of Homeland Security

If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS.

Direct Deposit

All employees are required to have bi-weekly payments made by direct deposit to a financial institution of their choosing.

Other Requirements of Employment

• WV Cares Clearance
• Drug Screening
• Driver's License

EEO Statement

Coplin Health Systems provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability or genetics. In addition to federal law requirements, Coplin Health Systems complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Coplin Health Systems expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Coplin Health Systems' employees to perform their job duties may result in discipline up to and including discharge.