BILLING CLERK

WORKSITES: Redwood City

POSITION TYPE: Full-time

REMOTE WORK STATUS: Not Remote Eligible / 100% In-Office. Please note that this is an entirely on-site role. Applications requesting remote or hybrid work arrangements will not be considered.

MISSION

The mission of Ravenswood Family Health Network (RFHN) is to improve the health of the community by providing culturally sensitive, integrated primary and preventative health care to all, regardless of ability to pay or immigration status, and collaborating with community partners to address the social determinants of health.

POSITION SUMMARY

Under direct supervision, the Billing Clerk is responsible for the preparation and submission of billing for all payers including self-pay patients, public program, and private third-party insurance. Additionally, conducts accounts receivable reviews and follows up on all unpaid accounts to ensure prompt payment.

DUTIES AND RESPONSIBILITIES

To be performed in accordance with RFHN Policies and Procedures

1. Reviews assigned encounter forms for accuracy and completeness before claims submission.
2. Returns incomplete forms to the appropriate clinical staff for correction.
3. Reviews batches of charges entered for errors prior to submitting.
4. Processes billing for services to all payors, including submission of electronic claims for public programs, hard copy claims on HCFA 1500s and UB 04s for private insurance, and hard copy statements for self-pay patients.
5. Maintains backup of original documentation, including encounter forms, copies of statements, and correspondence available for audit, upon request.
6. Receives remittance advices for third party billing; sends checks to accounting for deposit; reconciles remittance advices and posts payments in a timely manner to ensure cash flow.
7. Researches denials, unpaid or partially paid claims, and re-bills weekly to ensure prompt payment.
8. Attends training seminars sponsored by the State or other payors to keep up-to-date on billing and eligibility issues.
9. Responds to/answers all calls regarding patient accounts and billing questions.
10. Develops payment agreements with patients as outlined in the Billing and Collections Policy.
11. Uses templates and work-flow documentation tools effectively to ensure that encounters are completely documented as well as enabling the collection of data for statistical reports.
12. Attends meetings and participates in committees as requested.
13. Other duties as assigned and requested.