Billing Clerk I in Norristown, Pennsylvania at Delaware Valley Community Health

Billing Clerk I
Norristown Regional Health Center - Norristown, PA

On-site
Full-time / Monday - Friday / No weekends!

Benefits

We offer one of the most competitive benefits packages in our field, including:

• Medical, Vision, & Dental Insurance w/ HSA & FSA options
• 401(k) with employer match and additional contributions
• Employer Paid Life Insurance
• Tuition Reimbursement
• Generous Paid Time Off
• Room for growth and development

Who We Are

For over 55 years, Delaware Valley Community Health has been driven by our mission to serve the underserved population of Greater Philadelphia. We feel there is no greater cause than helping those in need, and we welcome all who share in our beliefs to consider joining us.

At DVCH, there’s a lot of humanity in our workplace. We support each other in a friendly, dynamic, and diverse environment and treat each other like family. The work is often challenging but it’s always rewarding.

We are committed to giving our people every opportunity to succeed. We believe that investing in our employees is the right thing to do by providing quality benefits and continuous learning opportunities to enhance the professional and personal lives of our team members. If you are eager to realize your true potential while helping those in need, we invite you to explore a career with purpose and join our family at Delaware Valley Community Health.

What You'll Do

This position is responsible for the submission and resubmission of claims and payment postings.

• Evaluates, updates, and verifies patients’ insurances including commercial.
• Determines sliding fee scale for all new and established under-insured and uninsured patients.
• Collects daily monies paid by patients, issues receipts, reconciles receipts, and delivers daily summary worksheet to the accounting department.
• Aids patients in contacting their HMO if patient is assigned to another provider and wishes to become capitated to DVCH.
• Refers possible candidates to the Billing Clerk IV or the Social Worker via in-house referral form.
• Verifies accuracy and completeness of encounter forms prior to data entry.
• Verifies accuracy of data entered (i.e., facility, provider, date of service, payor code, diagnosis, and procedure).
• Completes data entry from encounter forms on daily basis.
• Obtains authorization for OB patients, when required.
• Faxes and mails all OB data forms, such as Baby Blueprints and KMHP forms.
• Stamps all authorized prescriptions presented by patients after seeing their provider.
• Completes data entry and reviews day sheets and charge entry user audits for accuracy and completion.
• Answers questions from patients and staff regarding billing and forwards calls to the Billing management as appropriate.
• Contacts practice management system for resolution of software issues, when necessary.
• Contacts insurance carriers to resolve questions/issues, when necessary.
• Explains the benefits and eligibility standards for the different insurance programs to DVCH patients.
• Determines the appropriate insurance program for the patient.
• Assists patients who are denied benefits with the appeal process, if warranted.

• A high school diploma or equivalent is required.
• Previous billing experience in a health care setting is highly preferred.
• Excellent interpersonal and oral and written communications skills are required.
• Excellent analytical skills are required.
• Prior knowledge of the various insurance plans in which the organization participates is preferred.

DVCH is an EOE/Veterans/Disabled/LGBTQ+ employer.

For more information about DVCH and our services, visit us online at www.dvch.org.