SHS-BILLING CLERK

• Provide insurance companies with copies of bills, via electronic or manual billing.
• Verify that the proper demographic and insurance information has been obtained to ensure that only accurate clean bills are forwarded to insurance companies and patients.
• Handle incoming and outgoing telephone calls to patients/families and insurance companies.
• Bill secondary insurance companies as required.
• Work accounts to resolution utilizing the appropriate tools, i.e. Workstation, aging reports, special project reports to secure pmt. from responsible payer.
• Work unpaid high dollar priority balances: a) send status to secure payment; b) call insurance companies to ask for unpaid balance; c) identify and take appropriate corrective action for insurance over and underpayments; d) bill patients for private pay balances.
• Process mail pertaining to accounts.
• Responsible for providing supervisor with weekly statistics of claims submitted.
• Responsible for understanding corporate compliance rules and regulations as it relates to billing.
• Maintain confidentiality regarding patient bills & records.
• Serves as a role model for consistent demonstration of Sparrow Health System’s Customer Service Behavioral Standards of Performance, by respecting the Privacy and Confidentiality of those we serve.
• Demonstrates knowledge and respects patient, service provider, and organizational confidentiality and HIPAA Security procedures and protocols as defined under the HIPAA Privacy and Security Procedures.
• Follows established HIPAA privacy procedures when using and/or disclosing protected health information.
• Maintains and protects patients’ rights under the HIPAA Privacy standards.

Sparrow Health System