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Job Descriptions

This billing clerk - medicaid sample job description can assist in your creating a job application that will attract job candidates who are qualified for the job. Feel free to revise this job description to meet your specific job duties and job requirements.

Description: Billing Clerk - Medicaid

Billing Clerk - Medicaid Job Purpose:
Collects Medicaid reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; preparing reports.

Billing Clerk - Medicaid Job Duties:

  • Gathers medicaid billing information by reviewing patient hospital records; checking for completeness.
  • Ensures payments by verifying accuracy of medicaid coding.
  • Bills medicaid carrier by inputting billing information to database; initiating electronic transmissions.
  • Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims.
  • Resolves discrepancies by examining and evaluating data; selecting corrective steps.
  • Adjusts patient bills by reviewing remittance advice; consulting with medicaid office.
  • Prepares monthly reports of medicaid billing by summarizing billings, adjustments, and revenues received.
  • Updates job knowledge by participating in educational opportunities; reading professional publications; keeping current on medicaid billing and reimbursement procedures..
  • Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and jcaho standards.
  • Accomplishes billing department and hospital mission by completing related results as needed.

Skills/Qualifications: Data Entry Skills, Analyzing Information , Quality Focus, Productivity, Time Management, Organization, Professionalism, Attention to Detail, Financial Skills, Documentation Skills, Reporting Skills

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