STATEMENT OF PURPOSE

Prepares and reviews accounts receivable accounts for filing to insurance companies. Ensures billing accuracy to be compliant with all regulations and laws. Accommodates the public as a resource for patient accounts and the access team on insurance.

This is a Full time benefited position working 80 hours per pay period. Days of work are Monday - Friday with no nights, weekends or holidays.

JOB FUNCTIONS

• Prepares and reviews accounts for accuracy and completeness for filing and follow-up for insurance claims for processing for payment.
• May assist in receiving and processing of accounts receivable checks
• May assist in processing of daily mail.
• Identifies appropriate hospital accounts to ensure accurate application of payments received.
• Provides patient and accounting with appropriate receipt of payments by procedure.
• Accommodates the public by explaining charges and answering related inquiries from patients or their families, insurance companies, attorneys, etc.
• Interacts with all age demographic groups while performing duties.
• Assists other Patient Accounts Clerks with their duties by being sensitive to their needs; assists with Patient Accounts Coordinator duties in his/her absence.
• Assists Patient Access Clerk with their insurance questions and training.
• Works with insurance verification and prior authorization team to prevent denials.
• Duties that may be included are:
• Bank Reconciliations
• Special billings
• Clinic Physician’s charging, billing, and follow-up
• Orders supplies and calls for service for copy machine. Trains employees in proper usage to ensure maximum efficiency and appropriate care.
• Provider enrollment assistance
• Duties that may be asked to assist with outside of clerk’s normal tasks:
• Operate the telephone console
• Collection Agency reconciliations
• Performs other related duties as assigned or requested.

QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION:

1. Preparation and Training - High school level of education preferred; computer and/or secretarial skills.
2. Work Experience - One year clerical experience with computer knowledge with more than three months of progressively more responsible experience required; three months on-the-job training.
3. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employees are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule.
4. Analytical Ability - Gather and interpret data for data entry; diagnoses common computer error situations; good organizational skills.
5. Independent Judgement - Analyze and compile information from different sources. Independent judgement is required; moderate consequences from errors of judgment.
6. Contacts with Others - Social sensitivity and effective communication are required with occasional contact with public and co workers; compliance to behavior standards is required.
7. Supervising the Work of Others - Manages own work.
8. Responsibility for Welfare of Others - Infrequently provides for the physical well-being of the patient which may result in serious consequences i.e. emergency calls such as code calls, registration process.
9. Mental / Visual Effort - Must be able to concentrate amid distractions; think clearly under pressure; work regularly requires high level of mental/visual effort. Must be able to speak and write the English language in an understandable manner. Must be in good general health and demonstrate emotional stability. Visual acuity necessary for performing routine procedures.
10. Working Conditions - Works in a well lit office with some inconvenience caused by crowded work area; area subject to temperature discomforts; May be required/requested to work on shifts other than the one for which hired. Participates in and complies with JRMC Safety Management Program. Maintains knowledge of and observes Standard Precautions. Practices aseptic techniques whenever appropriate. OSHA Job Classification II: Employee does not have exposure to bloodborne pathogens.
11. Physical and Sensory Effort - Must be able to occasionally accomplish movement of computer paper and forms that are a maximum of 45 pounds. Occasional reaching, stooping, bending, kneeling, and crouching. Constant sitting is required to perform the major responsibilities of this job.
12. Promotion - No formal line of promotion
13. Background Check - A comprehensive background check and drug screening will be conducted as a condition of employment for this role.
14. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire.
15. Physical Requirements - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation.

Employee Requirements

• Visual Observation - Continuously
• Standing - Rarely
• Walking - Occasionally
• Sitting - Continuously
• Hands and Finger Dexterity - Frequently
• Reaching with Hands and Arms - Frequently
• Climbing - Rarely
• Stooping/Kneeling/Crouching/Crawling - Rarely
• Hearing/Listening - Continuously
• Tasting or Smelling - Rarely
• Working Inside - Continuously
• Working Outside - Rarely
• Working in Extreme Heat - Rarely
• Working in Extreme Cold - Rarely
• Working with Hazardous Materials - Rarely
• Noise - Rarely
• Working in Dirt/Dust - Rarely
• Driving - Never

Lifting: -

• Up to 10 pounds - Occasionally
• Up to 25 pounds - Occasionally
• Up to 50 pounds - Never
• Up to 75 pounds - Never
• Up to 100 pounds - Never
• Over 100 pounds - Never