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Job Summary:
The Medical Billing Clerk will process and follow up on Medicaid billing, review remittance advice forms to verify proper reimbursement, and adjust as necessary.
Supervisory Responsibilities:
- None.
Duties/Responsibilities:
- Checks to ensure that hospital records for patients include all information required for Medicaid reimbursement.
- Verifies correct Medicaid coding to ensure prompt payment.
- Inputs correct billing information and transmits electronically to the Medicaid carrier.
- Consults with claim clerks in the Medicaid office about any disputed claims and follows up on all bills not processed within usual claim period.
- Reviews remittance advice forms to determine any adjustments made to bills as submitted and consults with the Medicaid office.
- Authorizes or adjusts hospital bills to correct errors.
- Prepares weekly and monthly reports of Medicaid billing for the Controllers office.
- Attends training to keep abreast of changes in Medicaid billing procedures and attends annual in-services (fire, safety, and infection control.)
Required Skills/Abilities:
Education and Experience:
- Two years of experience in clerical/office support work and/or education at the high school or post-high school level in English, spelling, keyboarding, computers, business, or office practices.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
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