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Billing Clerk - Remote
<p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Job Purpose</strong></span></p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">The Clerk supports the Denial Management Department in the denials process for client hospitals. In this role, the Clerk gathers and disseminates information from hospitals, physicians, and insurance companies pertaining to referred claims denied.</span></p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"> </p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Duties and Responsibilities</strong></span></p> <ul style="color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: rgba(255, 255, 255, 1);"> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Manually enter new cases referred from clients into database as needed </span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Update database with information gathered from correspondence</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Learn various applications, etc., including gAIge, Epic, Eagle, Epremis, Medi-Tech</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Set follow-up reminders in Outlook </span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Review daily reports for updates and due dates</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Send updates on document requests received throughout the day </span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Fax appeals and all pertinent documents </span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Fax documentation to insurance carriers via portals, email, mail or fax</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Work within gAIge to update daily tasks assigned on work queue</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Log into all hospital applications and insurance carrier portals every two weeks </span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Submit appeals, correspondence, and medical records via carrier portals</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Scan and label correspondence received daily via mail, email, or fax</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Navigate hospital applications to obtain balances, charges, and UB documents</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Download reports from portals for updates</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Assist with the outgoing mail process </span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Scan documents into database</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Assist patients with questions related to statuses of their accounts</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Other duties as assigned</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Understand and comply with Information Security and HIPAA policies and procedures at all times</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"> </span></span></span></li> </ul> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Qualifications</strong></span></p> <ul style="color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: rgba(255, 255, 255, 1);"> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">High School Diploma or equivalent</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Must be courteous and possess a strong work ethic, with the ability to work in a fast-paced environment</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Possess clear, concise verbal and written communication skills</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Proficient in Microsoft Office applications (Word, Outlook, Excel, EPIC)</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Detail-oriented, resourceful, and analytical with ability to multitask</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Have strong organization and time-management skills</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Ability to learn proprietary databases</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Strong interpersonal skills, ability to communicate well at all levels of the organization</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on </span><span style="margin: 0; padding: 0; user-select: text;">accurate</span><span style="margin: 0; padding: 0; user-select: text;"> and </span><span style="margin: 0; padding: 0; user-select: text;">timely</span><span style="margin: 0; padding: 0; user-select: text;"> analyses</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">High level</span><span style="margin: 0; padding: 0; user-select: text;"> of integrity and dependability with </span><span style="margin: 0; padding: 0; user-select: text;">a strong sense</span><span style="margin: 0; padding: 0; user-select: text;"> of urgency and results oriented </span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Excellent written and verbal communication skills </span><span style="margin: 0; padding: 0; user-select: text;">required</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Gracious and welcoming personality for customer service interaction</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></span></span></span></li> </ul> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Working Conditions</strong></span></p> <ul style="color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: rgba(255, 255, 255, 1);"> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Must</span><span style="margin: 0; padding: 0; user-select: text;"> </span><span style="margin: 0; padding: 0; user-select: text;">possess</span><span style="margin: 0; padding: 0; user-select: text;"> a </span><span style="margin: 0; padding: 0; user-select: text; background-position: left bottom; background-repeat: repeat-x; border-bottom: 1px solid rgba(0, 0, 0, 0);">smart-phone</span><span style="margin: 0; padding: 0; user-select: text;"> or electronic device capable of downloading applications, for multifactor authentication and security purposes.</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Work Environment: The noise level in the work environment is usually minimal.</span></li> </ul> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"> </p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><em>Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.</em></span></p>