Medical Billing Clerk

Woodland Dental Group is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Woodland Dental Group, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

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.

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

Requirements:

• High school diploma or equivalent

• 1-2 years of experience in medical billing or related field

• Knowledge of medical terminology, ICD-10, and CPT coding

• Proficiency in Microsoft Office and medical billing software

• Excellent communication and customer service skills

• Ability to work independently and as part of a team

• Strong attention to detail and accuracy