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Position Classification Description

Position Class Code / Title: B0008 / Med Billing Clerk
Recruitment Tier: Tier 1
FLSA: Non-Exempt
Grade: 05

This is a description of a Staff Position Classification. It is not an announcement of a position opening. To view descriptions of current openings, please go to UNMJobs and Search Postings to view positions that are currently accepting applications.

The following statements are intended to describe, in broad terms, the general functions and responsibility levels characteristic of positions assigned to this classification. They should not be viewed as an exhaustive list of the specific duties and prerequisites applicable to individual positions that have been so classified.

Summary

Performs a variety of complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of a variety of problems. Follows up on submitted claims and patient billing; resubmits claims or resolves problems. May handle cash items and accounts receivable posting.

Duties and Responsibilities

  1. Processes billings to patients and third party reimbursement claims; maintains supporting documentation files and current patient addresses.
  2. Processes patient statements, keys data, posts transactions, and verifies accuracy of input to reports generated.
  3. Researches and responds by telephone and in writing to patient inquiries regarding billing issues and problems.
  4. Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary.
  5. May receive and receipt cash items and third party reimbursements; posts and reconciles payments to patient ledgers.
  6. Balances daily batches and reports; prepares income reports and statistics; distributes reports.
  7. Maintains patient demographic information and data collection systems.
  8. Participates in development of organization procedures and update of forms and manuals.
  9. Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.
  10. May assist in preparing documentation and responses for legal inquiries, litigation, and court appearances.
  11. Ensures strict confidentiality of financial records.
  12. Performs miscellaneous job-related duties as assigned.

Minimum Job Requirements

  • High school diploma or GED; at least 1 year of experience directly related to the duties and responsibilities specified.
  • Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Knowledge, Skills and Abilities Required

  • Ability to communicate effectively, both orally and in writing.
  • Knowledge of medical insurance claims procedures and documentation.
  • Records maintenance skills.
  • Ability to gather data, compile information, and prepare reports.
  • Ability to use independent judgment and to manage and impart confidential information.
  • Basic data entry and/or word processing skills.
  • Ability to verify data input and correct errors.
  • Ability to interact and communicate with people over the telephone, often in stressful situations.
  • Knowledge of medical billing procedures.

Conditions of Employment

  • This position is represented by a labor union and is subject to the terms and conditions of the CWA Collective Bargaining Agreement.

Working Conditions and Physical Effort

  • No or very limited physical effort required.
  • No or very limited exposure to physical risk.
  • Work is normally performed in a typical interior/office work environment.

The University of New Mexico provides all training required by OSHA to ensure employee safety.

Revised Date: 03/20/2017