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:

• Must have verbal communication skills and hearing ability to discuss billing with medical staff, patients, and Medicaid staff.

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.