HomeMy WebLinkAboutMed Records/Insurance Billing Clerk
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JEFFERSON COUNTY
Job Description
Job Title: Medical Records Clerk/Insurance Billing Clerk
Department: Health and Human Services
Reports To: Financial Manager
FLSA Exempt (YIN): NO
Union: UFCW 1001
BBP: NO
HIPAA Rating: 2
Salary Level: Grade 21 b&
Location: Castle Hill Mall .~_' tn, ~
Approved By: Human Resource Mana&,v1fiL- -
Approved Date: November 2004
SUMMARY
Compiles and maintains medical insurance and records; performs various computerized billing
activities and various associated support functions by performing the following duties.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may
be assigned.
Maintains various computerized billing & insurance information systems.
Maintains chart records, inserting diagnosis, provider notes, records data from different facilities,
prescriptions, recalls, places in appropriate location in chart for easy reference, and preparation
for clinics.
Performs data entry for client check-in and check-out database with all information pertinent to
visit including charges. Collects payments due.
Schedules appointments including assigning times per provider, identifying type of appointment
required, and finding appropriate time slot.
Operates computers to record data and maintain records of transactions. Maintains insurance
billing system to provide reports required for and from the department.
Maintains vital records, insurance and service billings preparing data from charts, lab reports,
and other sources. Prepares and records data from various sources that ensures billing for all
services provided.
Assists with compiling data from client records and preparation of reports.
Backfill for reception, registration and WIC for lunch times, vacations and sick time off.
Prepares insurance assignment form with data such as names of insurance company and policy
holder, policy number, and physician diagnosis.
Jefferson County Job Description: Medical RecordslInsurance Billing Clerk
Contacts insurance company to veritY patient coverage and obtain information concerning extent
of benefits.
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Receives, records, and reports payments from various State and other agencies.
Performs insurance billing and payment reconciliation and compiles reports
Answers patients' questions regarding statements and insurance coverage.
Telephones or writes companies with unpaid insurance claims to obtain settlement of claim.
Responds orally and in writing to inquiries from internal departments and outside agencies.
Coordinates and cooperates with outside auditors as required during periodic audits of insurance
records.
Performs data entry for immunization records on cards and reminds clients of additional
immunization as necessary.
Performs data entry for client check-in with all information pertinent to visit including charges.
Schedules appointments including assigning times per provider, identifying type of appointment
required, and finding appropriate time slot.
SUPERVISORY RESPONSffiILlTIES
. This job has no supervisory responsibilities.
COMPETENCY: To perform the job successfully, an individual should demonstrate
competency in the following:
Cost Consciousness - Works within approved budget; Conserves organizational resources.
Diversity - Demonstrates knowledge ofEEO policy; Shows respect and sensitivity for cultural
differences.
Ethics - Treats people with respect; Keeps commitments; inspires the trust of others; Works with
integrity and ethically; Upholds organizational values.
Organizational Support - Follows policies and procedures; Completes administrative tasks
correctly and on time; supports organization's goals and values.
Planning/Organizing - Prioritize and plans work activities; Uses time efficiently.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats
others with respect and consideration regardless of their status or position; Accepts responsibility
for own actions; Follows through on commitments.
Ouality - Demonstrates accuracy and thoroughness; Monitors own work to ensure quality.
Ouantitv - Meets productivity standards; Completes work in timely manner.
Safety and Security - Observes safety and security procedures; Reports potentially unsafe
conditions; Uses equipment and materials properly.
Adaptability - Adapts to changes in the work environment; Manages competing demands;
Changes approach or method to best fit the situation; Able to deal with frequent change, delays,
or unexpected events.
. AttendancelPunctuality - Is consistently at work and on time; Ensures work responsibilities are
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Jefferson County Job Description: Medical RecordslInsurance Billing Clerk
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covered when absent; Arrives at meetings and appointments on time.
Dependability - Follows instructions, responds to management direction; Takes responsibility for
own actions; Keeps commitments; Completes tasks on time or notifies appropriate person with
an alternate plan.
QUALIFICATIONS To perform this job successfully, an individual must be able to perform
each essential duty satisfactorily. The requirements listed below are representative ofthe
knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
High school diploma or general education degree (OED); and two (2) years
experience in medical record keeping, billing and insurance record keeping,
and/or technical training; or equivalent combination of education and experience.
Bilingual English/Spanish desired.
LANGUAGE SKILLS
Ability to read, analyze, and interpret general business periodicals, professional
journals, technical procedures, or governmental regulations. Ability to write
reports, business correspondence, and procedure manuals. Ability to effectively
present information and respond to questions from groups of managers, clients,
customers, and the general public.
MATHEMATICAL SKILLS
Ability to add, subtract, multiply, and divide in all units of measure, using whole
numbers, common fractions, and decimals. Ability to compute rate, ratio, and
percent and to draw and interpret bar graphs.
REASONING ABILITY
Ability to solve practical problems and deal with a variety of concrete variables in
situations where only limited standardization exists. Ability to interpret a variety
of instructions furnished in written, oral, diagram, or schedule form.
COMPUTER SKILLS:
To perform this job successfully, an individual should have knowledge ofMS
Access Database software; MS Explorer Internet software; MS Excel Spreadsheet
software and MS WORD, word processing software.
CERTIFICATES, LICENSES, REGISTRATIONS
Valid Washington State Driver's License
OTHER SKILLS AND ABILITIES
Knowledge of computers and skill in the use of spreadsheet, database, word processing, and
other software applications used in the operation of the department.
Knowledge of medical terminology, legal requirements for medical records.
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Jefferson County Job Description: Medical Records/Insurance Billing Clerk
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Understands the need for maintaining confidentiality of sensitive information and has knowledge
of the regulations regarding the release of medical records.
PHYSICAL DEMANDS: The physical demands described here are representative of those that
must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the
essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger,
handle, or feel and talk or hear. The employee frequently is required to stand, walk, sit, and
reach with hands and arms. The employee is occasionally required to climb or balance and
stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25
pounds. Specific vision abilities required by this job include close vision, color vision, depth
perception, and ability to adjust focus.
WORK ENVIRONMENT: The work environment characteristics described here are
representative of those an employee encounters while performing the essential functions of this
job. Reasonable accommodations may be made to enable individuals with disabilities to perform
the essential functions.
CAREER LADDER POSITION
This position is not part of a career ladder.
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