Senior Billing Clerk - The University of Vermont Health Network : Job Details

After a successful 90 day training period this position may be eligible for a hybrid work arrangement working 3 days remote and 2 days onsite in Malone, NY. The Senior Billing Clerk resolves patient accounts by performing claims processing, denial management and follow-up activities to effectively collect balances due- maximizing reimbursement while maintaining favorable public relations. Part of a payor team, this position is assigned a specific portion of the accounts receivable and is held accountable for the activity within the assigned A/R. Specific responsibilities include:

• Submitting of facility related medical claims to insurance and third party payers
• Communicating effectively with coworkers, Health Information Services, Information Technology and charging departments to resolve charging and coding related queries
• Reviewing, preparing and submitting electronic and paper claims for accuracy and completeness, obtaining and updating missing information to clear all edits before release
• Monitoring and following up on unpaid claims until resolved; may include calls, writing appeals, providing records etc.
• Researching and escalating denied, disputed, improper claim remit trends to management where appropriate
• Analyzing financial transactions to answer patient queries
• Completing assigned payer audits in timely manner

Job Requirements

• High School graduate or equivalent required.
• Computer skills required.
• A minimum of two (2) years of healthcare insurance billing training and experience in a health-related facility preferred.