Billing Clerk

Your experience matters Paris Regional - Billing Clerk At Paris we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. How you'll contribute Follows established policies and procedures. objectives, safety standards, and sensitivity to confidential information. Process 100% of accepted claims within one working day of receipt. Edit claims to completion, exhausting all resources to meet established guidelines. Enter 100% documentation immediately upon receipt, keeping account information current and accurate. Update billing system with demographic and/or insurance revisions within one working day of receipt. Submit daily to manager those claims requiring additional information from Admitting/Registration staff. Initiate follow up to third party payers no later than 15 days from final bill. Work accounts to completion to ensure adjudication within 90 days from bill. Actively follow up on all rejected and unpaid claims. Obtain and/or supply payers with necessary information and/or documentation to expedite payment in accordance with payer guidelines. Maintain current knowledge of CPT-HCPCS and ICD- 10 coding in accordance with third party payer guidelines for UB94 and HCFA 1500 claims. Review accounts for accuracy of patient balances and insurance portions due, to ensure correct statements are mailed. Maintain knowledge of payer contracts and reimbursement methodologist to insure correct payment and patient portion due. Retains business office records in readily retrievable fashion. Maintains clean claims submission to 80% or better. Maintains confidentiality in accordance with HIPAA regulations. Performs other related duties as assigned or requested. Pairs Regional Health, located in Paris, Texas, is a 154-bed general acute-care hospital that has been serving Northeast Texas and Southeast Oklahoma for more than 112 years. Paris Regional offers a 23-bed Inpatient Rehabilitation Unit and a wide range of inpatient and outpatient medical services tailored to the community's needs. The hospital is known for quality care and a commitment to improving lives with innovative, compassionate health services. Programs include inpatient mental health and addiction treatment, Partial Hospitalization Programs (PHP), and Intensive Outpatient Programs (IOP). Qualifications Minimum Education High School diploma or equivalent. Preferred: Two years of college coursework completed or equivalent work experience. Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Minimum Work Experience Preferred: Previous insurance billing experience or analytical experience determining priorities, where options are limited. EEOC Statement Paris is an Equal Opportunity Employer. Paris is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.