Position Information: Description
The billing clerk performs data entry of payments and adjustments into electronic database. Prepares claims for medical and third party payers including insurance companies, medical assistance, workers compensation, Indian Health Services, etc. Provide written and verbal communication with patients regarding their health care claims. Research problem accounts and follow through with appropriate action.
Duties & Responsibilities
Review explanation of benefits forms (EOB), remittances, correspondence, and claims. If there is a problem with payment decide what action should be taken. Retrieve hospital billing information from systems. Post charges, payments and adjustments into database following protocol. File insurance claims through clearinghouse or paper if necessary Assess accounts receivable to identify issues and determine appropriate method of problem resolution. Work with third-party payers to resolve outstanding receivables. Determines and verifies appropriate demographics (obtain current information and validate): patient name (correct spelling of); date of birth; address; insurance coverage/information; and responsible party-guarantor in order to maximize timely reimbursement. Communicate with and establish positive relationships with internal and external customers to problem solve, explain policies and procedures, and explain financial processes (i.e., co-payments, referrals, address verification) to maximize timely reimbursement. Provide billing customer service in person, by phone or correspondence by analyzing and researching patients’ accounts to provide accurate, timely information and ensure resolution that meets federal, state and payer regulations. Provide courteous assistance to patients and other staff to promote and ensure customer satisfaction. Be an ambassador for the facility, appropriately representing the UND Center for Family Medicine and its counterparts. Answer the phone in a timely and professional manner and in accordance with the UND Center for Family Medicine standards to ensure excellent customer service. Appropriately file revenant paperwork for auditing purposes
Basic knowledge of ICD-9 and ICD-10 diagnosis coding and CPT procedural coding manuals. Must comprehend insurance claims processing, Explanation of Benefits forms (EOB), and denials. Knowledge of medical office procedures, minimal coding, and the ability to examine documents for accuracy and completeness. Ability to process patient and public inquiries with poise and efficiency. Ability to recognize, evaluate and resolve problems and correct errors. Must be able to work with patients and the public in a professional, confidential, and calm fashion. (Able to respond and perform effectively in stressful situations with the ability to multi-task). Ability to work independently. Must have knowledge of registration procedures, extensive computer skills, basic knowledge of system applications, and billing systems. Knowledge of third party payers and basic bookkeeping or accounting principles is required. Must have excellent interpersonal skills, be detail oriented, and be able to multi-task, working on numerous projects simultaneously while meeting required completion deadlines.
- One year experience working in a medical billing office
- Computer data entry experience
- Successful completion of criminal history records check.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the US and to complete the required employment eligibility verification form upon hire.
- Associates Degree in business or similar preferred
Minimum Hiring Salary/Position Classification
Commensurate with experience, Non-Exempt, Full-Time, Benefited
Work Schedule/Start Date
Monday - Friday, 8am to 5pm
Includes single or family health care coverage (premiums paid for by the university), basic life insurance, EAP, retirement plan, tuition waiver, annual and sick leave. Optional benefits available: supplemental life, dental, vision, flexible spending account, supplemental retirement plans.
For full consideration, all application materials must be fully submitted by 11:59PM on the closing date.
All information listed in this position announcement will be used by Human Resources, the Hiring Department, and EO/Title IX for screening, interviewing and selection purposes.
Confidentiality of Application Materials
Pursuant to NDCC 44-04-18.27, applications and any records related to the applications that identify an applicant are confidential, except records related to the finalists of the position, which are open to the public after the search committee has identified the top three finalists who will be invited to campus.
The University of North Dakota is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or other protected characteristic. Women, minorities, veterans, individuals with disabilities, and members of other underrepresented groups are especially encouraged to apply. Applicants are invited to provide information regarding their gender, race and/or ethnicity, veteran’s status and disability status as part of the application process. This information will remain confidential and separate from your application.
Veterans claiming preference must submit all proof of eligibility by the closing date. Proof of eligibility includes a DD-214 or NGB 22 and if claiming disabled status, a current letter of disability from the VA dated within the last 12 months.
In compliance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, the University of North Dakota publishes an Annual Security and Fire Safety Report. The report includes the university’s policies, procedures, and programs concerning safety and security, as well as three years’ of crime statistics for our campus. As a prospective employee, you are entitled to a copy of this report. The report and statistical data can be found online at UND.edu. You may also request a paper copy of the report from the UND Police Department located at 3851 Campus Road, Grand Forks, ND, 58202.