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Patient Accounts/Payroll Clerk
Location: Weeks Medical Center
Department: HHA-ADMINISTRATIVE SVS
Shift: Day shift Full-time
Job Details:
  • Position Summary
    • The Patient Accounts and Payroll Clerk - Home Health is a key player in effective billing and reimbursement. In addition, he / she will be responsible for payroll entry. This position requires strong time management and organizational skills and the ability to follow-up and follow-through; will work within a home health team that expects to maintain patient quality outcomes that score in the top 20% of Home Health agencies in the country. The Patient Accounts and Payroll Clerk possesses knowledge of and follows Bureau of Elderly and Adult Services (BEAS), Medicare and Medicaid billing regulations and rules, regulations, policies and procedures of Weeks Medical Center.
  • Qualifications
    • Prior data entry and word processing experience is required.
    • Three to five years billing experience with healthcare billing experience preferred.
    • Ability to function independently and plan, organize and prioritize tasks.
    • Superior customer service skills required.
    • Excellent communication (oral and written) and interpersonal skills required.
    • Detail and deadline oriented.
    • Thorough understanding of computerized systems.
    • Computer proficiency in electronic medical record entry required.
  • Essential Functions of the Job
    • Process and submit timely claims to private pay clients and specific long term care payers.
    • Responds to all client inquiries regarding claims status and estimated reimbursement amounts and dates. Responds to all claims related questions.
    • Researches and resolves aged accounts receivable over 30 days old for assigned payers. Makes necessary corrections to re-bill in order to receive payment, or document reason to write off the claim for supervisor’s approval.
    • Performs monthly audits to ensure all orders are received and filed appropriately prior to final discharge of record.
    • Review client claims to find errors, denials or discrepancies in reimbursement. Evaluates claims returned for errors and makes corrections and recommendations for follow-up, further investigation or documentation as necessary.
    • Ensures accuracy and completeness of patient accounts and prepares billing statements.
    • Performs monthly and annual BEAS grant reporting requirements and shares information with designated leadership team members.
    • Maintains monthly statistics of actual and projected BEAS unit usage and conveys variances to supervisor on the 15th of the following month.
    • Reviews and analyzes record composition and prepares and maintains discharge audits.
    • Receives approval to refund all credit balances as appropriate monthly.
    • Maintains department deadlines related to billing requirements.
    • Provides back-up coverage for Patient Account Representative.
    • Transfers all payroll information into Kronos or to designated payroll system by payroll deadline.
    • Responsible for the timely verification of payroll processes and resolution of all payroll errors and corrections, according to established policy guidelines.
    • Responsible for the maintenance and retention of all payroll and day sheet-related reports and files.
    • Understands workflow processes of contiguous departments and uses knowledge to make effective processing decisions.
    • Partners effectively with all agency departments to maintain excellent customer relationships.
    • Maintains current and extensive knowledge of all home health & hospice services.
    • Participates in ongoing training opportunities to maintain relevant industry knowledge.
    • Accepts and satisfactorily completes miscellaneous duties as requested by Executive Director.

Job Code: 67005714
Posted: Aug-7-2013
   
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