Insurance Clerk

Job Title: Insurance Clerk

Duration: 3 Months

Location: Salinas, CA 93901 (Onsite)

Pay Range: $20 - $25/hr.

Job Description:

• Works under the supervision of the Business Services Coordinator.
• Performs diverse clerical tasks involved in processing of billing for services to patients in order to expedite remittances and minimize outstanding accounts.
• Checks for prior stays and charges. Resolves questions through written correspondence, in person or by telephone.

Duties:

Performs other duties as assigned

• Greets patient and public politely.
• Composes and types letters.
• Verifies information/charges on patient account for accuracy, reconciles discrepancies.
• Maintains records and files account transaction, hard copy and computer system.
• Answers inquires accurately and courteously by phone or in person.
• Observant of co-members desk when vacant.
• Enters detailed comments into the computer.
• Obtains documents from outside departments to obtain required or necessary information to complete verification/billing process.
• Checks admissions for prior stays and transfers charges from outpatients (if applicable).
• Receives, interprets and processes any incoming mail/bulletins, submits necessary modifications if applicable
• Processes late charges and completes spreadsheet if applicable.
• Downloads claims to PC from Host systems if applicable.
• Bills both primary and secondary insurance carriers for inpatients and outpatients, process required adjustments, calculates days and deductibles if applicable, at the time of billing calculates expected 
• payments, and adjusts balances.
• Rebills accounts when necessary.
• Maintains a system for review and follow-up on un-paid claims. Files liens when necessary.
• Completes claim check process to produce bills and enters, corrects, or reverses charges when necessary with  required documentation. 
• Refers accounts to a self pay status when collection efforts have been exhausted or denied
• Interprets for Non-English speaking patients/public.
• Communicates with insurance carriers to ensure coverage for services provided