Job Description

Job Description

Responsibilities

This position is remote until further notice, but will require travel to the Malvern, PA office when offices are open. Your office computer will be sent to you. Training will be conducted via Zoom. The Billing Clerk is responsible for the accurate and timely submission of professional billing paper claims and any necessary attachments. This includes supporting medical documentation to meet payer guidelines, explanation of benefits (EOBs) for secondary/tertiary claims when electronic submission is not an option, exhaustion of auto benefits letters, and any payer specific forms that must accompany the claim to process for payment. Meets or exceeds established performance targets (productivity and quality) established by the Billing Supervisor. Ships and receives product and supplies, sort, distributes and handles incoming and outgoing mail (USPS, shipping services e.g. FedEx, courier). Maintains postage meter and service logs. Prepares transactional paper batches for scanning timely to support ease of access to CBO employees. Tracks inventory of supplies needed for paper claims and submits orders following CBO approval guidelines.

* Handles daily generation and sorting of paper claims to maximize efficiency.
* Retrieval of medical documentation, explanation of benefits (EOBs), correspondence and forms from the Practice Management System (PMS) or any other system or documentation repository for the purpose of submitting with a professional claim to meet payer requirements.
* Timely and accurate attachment of EOBs, medical documentation, correspondence and forms to paper claims. Reviews accuracy of paper claim information against the attachment to include date of service and provider of service match. Escalates to Supervisor as needed when inaccuracies are identified. Mails claims daily to minimize lag times/days. Meets or exceeds established performance targets (productivity and quality) established by the Billing Supervisor.
* Prepares and scans transactional paper batches (e.g. manual charge entry) to a designated local drive folder timely and accurately for ease of review and/or retrieval by CBO staff.
* Receives and distributes all packages and mail to include USPS, shipping services (e.g. FedEx and courier to ensure timely and accurate receipt by CBO departments/staff. Researches and forwards mail accordingly when delivered to the CBO in error.
* Processes all outgoing mail to include USPS, shipping services (e.g. FedEx) and courier to ensure accurate and timely receipt to the addressee. Maintains postage meter and logs. Orders shipping service supplies.
* Conducts research on bad patient addresses following established CBO best practice. Works with the IPM CBO Payer Relations Representative on returned mail with incorrect payer addresses. Ensures returned mail is sent out with the correct payer address timely.
* Performs other duties as assigned.

Qualifications

Education: High School Graduate/GED required. Technical School/2 Years College/Associates Degree preferred.

Work experience: Minimum (1-3 years) experience in billing office. Health insurance or equivalent operations work environment.

Knowledge: Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements. Understanding of the revenue cycle and how the various components work together preferred.

Skills: Excellent organization skills and attention to detail. Ability to work with large volumes of mail. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Demonstrated competency in basic computer skills.

Equipment Operated: Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable. Microsoft skills preferred.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.