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Billing & Insurance Clerk II

Responsibilities:

Primary Job Functions:

Claim Processing and Reconciliation:
  • Posts charges, payments, and adjustments to patient accounts in an accurate and timely manner.
  • Verifies patient demographic and billing information.
  • Verifies patient insurance eligibility to ensure information is current and accurate.
  • Responds to patient balance and billing inquiries in a prompt manner.
  • Key charges into electronic billing system and payer websites when appropriate.
  • Collects patient co-payments or balances due on account and enters payments into billing system.
  • Processes and files billing documents as required.
  • Provides internal training regarding the billing process.
  • Works cooperatively within the department to resolve problems regarding billing and collections.
  • Assist with medical bill processing oversight.
  • Works billing reports and third-party vendor reports related to the billing process.
  • Meets or exceeds department productivity standards.


Supervision and Consultation:
  • Seeks supervision and consultation as needed
  • Ability to work schedule as defined and overtime as required.
  • Accepts and employs suggestions for improvement
  • Actively works to enhance skills


Customer Service and Workplace Conduct:
  • Treats consumers with care, dignity, compassion and respect
  • Courteous and respectful towards consumers, visitors and co-workers
  • Respects consumers’ privacy and confidentiality
  • Is pleasant and cooperative with others
  • Assists consumers and visitors as needed
  • Personal values don’t inhibit ability to relate and care for others
  • Is sensitive to the consumer’s needs, expectations and individual differences

Administrative and Other Related Duties as assigned:
  • Actively participates in Performance Improvement activities
  • Actively participates in AltaPointe committees as requested
  • Completes assigned tasks in a timely manner
  • Works in a cooperative manner with other AltaPointe employees
  • Follows AltaPointe policies and procedures
  • Receives and responds to inquiries of accounting matters promptly and courteously
  • Assists with performance of duties of other accounting staff in periods of absence
  • Performs other duties as assigned

Qualifications:
High school diploma or equivalent. Two years’ experience working in an inpatient or outpatient medical billing office required. Experience with behavioral health, substance use, or primary care a plus. Strong computer skills required. Medicaid, Medicare, or Blue Cross Blue Shield billing experience preferred.

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