Billing Support Clerk 3 (Full Time, Monday - Friday 8:00 am - 4:30 pm)

Position Overview 

Reporting Manager of Revenue Cycle, the Billing Support Clerk III is responsible for the accurate and timely completion and submission of claims and accounts receivable tracking. Assists with other billing functions such as payment processing, eligibility checking, claims validation and visit authorization.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Accurately documents and enters the payor information into EMR detailing coverage, co-pays and billing requirements. Enters information in a timely manner. 
• Verifies a beneficiary’s insurance eligibility for services, focus on Medicaid beneficiaries.
• Tracks and works to resolve unbilled claims in Validation Hold, Claims Hold and Claims Errors.
• Managing the billing of claims by processing and validating uploaded claims in clearinghouse.
• Completes Hospice billing including keying Hospice elections and terminations into the Medicare system.
• Assists with the collection of private/self pay receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and developing payment plans.
• Completes billing for Community Health services.
• Participates with the billing office staff in review of any outstanding claims and/or denials on a regular ongoing basis to ensure accuracy and timeliness of any necessary appeals.
• Performs other specific projects relating to billing, data entry, and computer operations as required.
• Monitor Denials, Rejections and payments for ADRs 
• Process Payments by downloading EDI files and posting payments into Electronic Medical Records (EMR) 
• Demonstrates flexibility in role by accepting other duties as assigned for which qualified.
• Establishes and maintains positive working relationships with patients/clients, payors and Granite VNA employees.

Other Job Functions

• Abide by agency policies and procedures.
• Adheres to the Agency’s standard of professional appearance and the Agency’s dress code policy.
• Represents the agency in a professional manner in both written and verbal communications. 
• Demonstrates excellent communication and customer service skills. 
• Understands and demonstrates the agency’s safety policies and procedures. 
• Adheres to the Agency’s standard of professional appearance and the Agency’s dress code policy. 
• Adhere to the Agency’s policy and procedures regarding confidentiality and patient rights. 
• Attends in services/conferences required for the position/program annually.

Minimum Qualifications and Requirements

1. Associates degree with 2 to 3 years of office experience in a high pressure, deadline-oriented environment 

2. Minimum of 2 years of Insurance, Medicare Hospice and Medicaid billing experience

3. Intermediate to advanced MS Office skills specifically Excel and Word

4. A focused, clear thinker, well organized, level headed, solution-oriented personality

5. A Self-starter, efficient, productive, works well independently and as part of a team personality