BILLING CLERK

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    "description": "<p style=\"margin-right:24px;text-align:justify;\"><span style=\"font-size:14px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><strong>O</strong><span style=\"font-weight:bold;\">RGANIZATION</span></span></span></span></p>\n\n<p style=\"margin-right:24px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">The mission of Ravenswood Family Health Network (RFHN) is to improve the health of the community by providing culturally sensitive, integrated primary and preventative health care to all, regardless of ability to pay or immigration status, and collaborating with community partners to address the social determinants of health.</span></span></span></p>\n\n<p style=\"margin-right:24px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><strong>POSITION SUMMARY</strong>   </span></span></span></p>\n\n<p style=\"margin-right:24px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Responsible for the preparation and submission of billing for all payors including self-pay patients, public programs, and private third-party insurance.  Conducts accounts receivable review and follow-up on all unpaid accounts to ensure prompt payment and performs other duties as required.</span></span></span></p>\n\n<p style=\"margin-right:24px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">The Billing Clerk I is distinguished from the Billing Clerk II, in that the Billing Clerk I<b> </b>is an entry level training position.  There are no requirements of previous experience in addition to the minimum qualifications of one year of billing experience in a healthcare organization.    The Billing Clerk II, however, requires at least three years prior experience as a biller or billing specialist in a dentist's office or community clinic with progressively increased responsibilities in addition to the minimum requirements. </span></span></span></p>\n\n<p style=\"margin-right:48px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><strong>DUTIES AND RESPONSIBILITIES</strong></span></span></span></p>\n\n<p style=\"margin-right:24px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><em>To be performed in accordance with RFHN Policies and Procedures</em></span></span></span></p>\n\n<ol>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Reviews encounter forms for accuracy and completeness (dx codes/CDT codes/ to ensure that the encounter is accurate and billable. Returns incomplete encounters to the provider for correction.</span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Reviews batches of charges entered for errors prior to posting.</span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Processes billing for services to all payors including submission of electronic claims for public programs, hard copy claims on HCFA 1500's and UB 92's for private insurance, and hard copy statements for self-pay patients. </span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Maintains all backup of original documentation including encounter forms, copies of hardcopy statements, and correspondence available for audit, upon request. </span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Receives remittance advices for third party billing, sends check to accounting for deposit, reconciles remittance advices and posts payments in a timely manner to ensure cash flow.</span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Researches denials, unpaid or partially paid claims, and rebills daily to insure prompt payment.</span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Follows up one outstanding patient balances for any retro rebilling and calls patients to collect if no insurance available.</span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Attends training seminars sponsored by the State or other payers to keep up-to-date on billing and eligibility issues.</span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Maintains all billing manuals up-to-date by deleting outdated information and inserted new advice notices as they arrive.</span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Handles calls regarding patient accounts and billing questions. </span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Develops payment agreements with patients with the approval of the Director of Billing Cycle. Uses templates and work-flow documentation tools effectively to ensure that encounters are completely documented as well as enabling the collection of data for statistical reports.</span></span></span></li>\n</ol>",
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    "qualifications": "<p style=\"margin-right:48px;text-align:justify;\"><span style=\"font-size:14px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><strong>QUALIFICATIONS</strong></span></span></span></p>\n\n<ul>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">High school diploma or equivalent (GED) required with one year of billing experience in a health care organization. </span></span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Knowledge of billing practices as well as clinic policies and procedures.</span></span></span></span></li>\n\t<li style=\"margin-right:36px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Knowledge of CDA and ICD-10 coding and billing requirements for public programs and third-party payers. </span></span></span></span></li>\n\t<li style=\"margin-right:36px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Knowledge of specialist billing in dental.</span></span></span></span></li>\n\t<li style=\"margin-right:36px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Understanding of special billing modifiers.</span></span></span></span></li>\n\t<li style=\"margin-right:36px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Familiar with data entry, use of a calculator, and software to create spread sheets such as Microsoft Excel. </span></span></span></span></li>\n\t<li style=\"margin-right:36px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Bilingual Spanish language skills:  Not required, but highly preferred to facilitate communication with patients and employees.</span></span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Ability to work effectively and cooperatively with other RFHN staff and patients.  </span></span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Ability to examine documents for accuracy and completeness. </span></span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Ability to communicate clearly. </span></span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Ability to prepare records in accordance with detailed instructions.</span></span></span></span></li>\n\t<li style=\"margin-right:48px;margin-left:8px;\"><span style=\"color:#000000;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-size:11pt;\">Up to date with COVID-19 vaccines per current CDC guidelines strongly recommended.  </span></span></span></span></li>\n</ul>\n\n<p style=\"margin-right:24px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">The pay range for this position is $24.00 to $36.00 per hour.  However, the final base pay will be determined upon a number of individualized factors such as (but not limited to) the scope and responsibilities of the position, job-related knowledge, skills, experience, education and certification levels, and departmental budget. We also consider internal equity with our current employees when making final offers.</span></span></span></p>\n\n<p style=\"margin-right:24px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-size:14px;\"><span style=\"font-family:Arial, Helvetica, sans-serif;\">Ravenswood Family Health Network is an equal opportunity employer.</span></span></span></p>",
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