The central billing clerk is responsible for transmitting all electronic claims, completing all paper claims, monitoring all accounts receivable and payable, monitoring authorizations and working closely with each registrar to ensure compliance with standards.
Duties and Responsibilities:
Transmit all electronic claims within established time frames.
Complete all paper billing claims within established time frames.
Monitor assigned accounts receivable to ensure compliance with financial policies.
Collect required data and prepare reports for outside funding sources within established timeframes.
Work closely with each registrar to ensure compliance with financial policies.
Monitor payer trends and communicate them to the CBO Manager within established timeframes.
Monitor the process for efficiency and recommend improvements, as needed, to the CBO Manager.
Communicate with various private insurance companies and resolve billing disputes.
Respond in a professional and courteous manner to client billing questions within established timeframes.
Complete daily Avatar Central Billing reports.
Accurately enter payments and denial information into Avatar according to ABH negotiated contract rates.
Data entry rate for hospital charge entry will be a minimum of 100 completed charges per day. All PIP charges must be entered the day the fax is received by CBO. CBO will monitor through Avatar Reports that all billing slips are received within 5 days of the patient's discharge. Follow-up with the CBO Manager, as appropriate.
Education: High school diploma or equivalent.
Experience: 1 year in a clerical position.
Training: Relevant computer program training.
Education: 1 year in a setting that involves direct customer care.
Equipment Use: Computer, copier, facsimile, typewriter and shredder.
The above statement reflects the general details considered necessary to describe the principal functions of the job, as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Whether you lead an active life or love leisure, you’ll enjoy working and living in the beach communities of New Jersey’s southeastern shore.
Benefits & Wellness
We believe that healthcare should be a rewarding career. That’s why we offer excellent compensation, exceptional health and wellness benefits, and internal resources and programs to support professional growth for our team members. Here, you’ll find everything you need to pursue your calling of caring for others, knowing that you’re working for an organization dedicated to your overall well-being.
Inclusion & Diversity
Diversity and inclusion are at the heart of what makes AtlantiCare a great organization. We recognize and celebrate individual differences as dimensions that enrich our workforce and allow us to be more creative, flexible and competitive. Our inclusive culture welcomes our employees to freely contribute their diverse ideas, background, talents and experiences to make this a place where everyone can be, and do, their best work together.
For many, the shore communities of southeastern New Jersey are vacation destinations, but for AtlantiCare employees, they’re home. Working at AtlantiCare allows you to experience shore life year-round. Here, you’ll find natural beauty, world-class entertainment, rich history, amazing arts, abundant outdoor recreation, shopping, sophisticated dining and plenty of family-friendly events all within communities you’ll love to call home.
The spirit of collaboration is alive and well at AtlantiCare. We empower our teams to be agents of change within our system. We encourage growth and support advancement. Our shared vision for advancing the health of the communities and people we serve guides us to do what’s right for each patient, our healthcare delivery system and the practice of medicine as a whole. We teach, grow and advance medicine together.
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Protected health information (PHI) and HIPAA compliance
HireControl does not collect any of the following data:
Documentation of doctors’ visits
Payment and remittance information
Coordination of healthcare benefits
Health claims attachments
Enrollment information in a health plan
Eligibility information for health plans
Personal information generated from premium payments