Medicaid Billing Clerk
[Intro Paragraph] Begin your Medicaid billing clerk job description with a concise paragraph or list of bulleted items designed to sell your company, institution, or workplace to applicants. Emphasize your organization’s investments in employee development or its dedication to providing top-rated healthcare to all members of your community. You might also mention how many employees or clients you have, or the scope of your business. This is also the place to mention fun perks, such as a top-rated, free, or reduced-rate employee cafeteria or on-site fitness center.
Medicaid Billing Clerk Job Responsibilities:
- Collects Medicaid reimbursements by gathering, coding, and transmitting patient care information.
- Keeps up to date on information required for remittance of patient care by Medicaid and communicates this information to fellow billing staff.
- Reviews patient hospital records to check for proper Medicaid coding and completeness and makes corrections accordingly.
- Analyzes patient billing records for completeness and accuracy and obtains additional information and clarification as necessary.
- Resolves billing discrepancies by conducting further research and correcting errors.
- Resolves disputed claims by consulting with state Medicaid administration claims clerks and following up on all bills not processed within usual claim period.
- Prepares reports based on Medicaid billing data and revenue.
- Ensures payments by verifying accuracy of Medicaid coding.
- Bills Medicaid carrier by inputting billing information into databases.
- Resolves disputed claims by gathering, verifying, and providing additional information and following up on claims.
- Resolves discrepancies by examining and evaluating data.
- Adjusts patient bills by reviewing remittance advice and consulting with Medicaid office.
- Prepares monthly reports of Medicaid billings, adjustments, and revenues received.
- Participates in professional educational opportunities to keep 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 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards.
[Work Hours & Benefits] In this section of your Medicaid billing clerk job description, you’ll want to sell the position to potential applicants in a similar way as your first paragraph marketed your workplace to candidates. To ensure that the salary range you mention in your job post is in line with similar salaries in your region, you can use a salary tool that allows you to input job title and location. You can also mention benefits, including healthcare, skills training, tuition reimbursement, or paid time off.
Medicaid Billing Clerk Qualifications/Skills:
- Integrity, discretion, and respect for confidentiality and privacy
- Excellent oral communication skills and the ability to resolve misunderstandings and errors in a diplomatic manner
- Typing, computing, and data entry skills
- Good communication, interpersonal, and customer service skills
- Analytical skills
- Ability to prioritize and work under pressure
- Time management
- Organizational skills
- Attention to detail
- Strong spelling, math, and financial skills
- Documentation skills
- Typing and data entry proficiency
Education, Experience, & Licensing Requirements:
- High school graduate or equivalent, associate’s degree in accounting a plus
- Certified Professional Coder (CPC), Certified Coding Associate (CCA), or the Registered Health Information Technician (RHIT) required/preferred
- Experience working in an office setting
- Previous billing, bookkeeping, or clerical experience a plus
[Call to Action] Your Medicaid billing clerk job description should finish strong with a call to action that urges applicants to fill out an online application or send a resume using content information you will provide near the end of your job post.
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