Account Clerk – HSD

Position Summary and Job Duties

Performs general accounting duties to support the Revenue Cycle Management tasks of the Human Services Department.  This includes charge maintenance; billing preparation and submission; data correction; interface for clients, staff, and third-party payers; denial management and claim resubmission.  Supports and promotes the Mission, Vision and Guiding Principles of the Human Services Department.  Performs in a manner consistent with the HSD Professional Standards and Commitment to My Co-Workers.

40% – Charge Maintenance

  • Create weekly extractions of program staff documentation summaries from electronic health record and distributes reports to supervisors to ensure episode notes are entered prior to billing to payers
  • Review and add provider credential modifiers for billing software to assign appropriate charge amounts
  • Initiate billing system data updates to apply missing and corrected data
  • Review and correct errors and omissions in episode entries (diagnosis codes, time durations, charge roll-ups) through program staff e-communications
  • Inform revenue cycle coordinator monthly of reoccurring billing data entry mistakes so appropriate training can be encouraged

20% – Billing Preparation and Submission

  • Prepare and submit claims for services to third-party payers
  • Prepare and issue invoices to private-pay clients
  • Prepare and mail monthly statements to clients with outstanding balances
  • Create monthly A/R aging report and provide to revenue cycle coordinator

20% – Data Correction

  • Modify client insurance information to direct billing to appropriate payers
  • Correct episode notes (Records Quality Management)
  • Correct addresses on returned mail in billing system

10% – Billing Denial Management

  • Determine the billable charges for each third party payer and maintain clients’ payer files in billing system to reflect those services
  • Inquire regarding denial of payment from third party payers
  • Resubmit corrected claims to third-party payers

5% – Interface for Clients, Staff, Third-Party Payers

  • Initial contact for inbound phone calls from clients and third-party payers for billing questions
  • Create past month’s program staff documentation summaries and distribute to supervisors, revenue cycle coordinator, and business manager

5% – Other duties as assigned

  • Allocate monthly Motor Pool mileage into summarized data by program for journal entry creation
  • Allocate monthly cell phone charges into summarized data by program for journal entry creation
  • Bill Job Center tenants for phone and copier usage
  • Aid unit with check reconciliations, scanning, filing

Success Factors (KSA’s)

  • General knowledge of bookkeeping (creation of journal entries, Accounts Receivable functions and reporting), office procedures and terminology
  • Excellent analytical, computational, and basic math abilities
  • Proficient in computer skills, including MS Outlook, MS Word, MS Excel, and accounting software
  • Proficient data entry skills with attention to detail
  • Understanding of Human Service programs, HIPAA privacy standards, and trauma-informed care; need for level of integrity due to nature of work performed by department
  • Professional verbal and written communication skills to represent department on phone and in written form
  • Ability to interact with clients, staff, and payers to ensure accurate information and correct billing

Job Requirements, Education, Training & Experience

  • High School diploma or equivalent supplemented by focused coursework in bookkeeping and software applications.  Three-four years of bookkeeping or accounting experience, or associate’s degree or higher with 1-2 years of bookkeeping experience.

Essential Job Functions (physical elements, equipment and working conditions)

Physical elements:

  • Employee is regularly required to stand, sit, talk, hear, and use hands and fingers to operate a computer and telephone keyboard

Equipment use:

  • Ability to use desktop computer and keyboard
  • Ability to use standard office equipment

Working conditions:

  • Low noise level in an office setting