Account Clerk (Inpatient and Outpatient Admissions)

Performs responsible record keeping and clerical duties of a specialized nature which involves maintaining client records, responding to client or provider inquiries, and completing and maintaining any necessary documentation according to requirements, codes, and policies for the Brown County Community Treatment Center. **This position is primarily focused on inpatient and outpatient admissions.** **ESSENTIAL DUTIES (general):** The Community Treatment Center has several Account Clerk positions. Each position (outlined below) has its own areas of responsibility and expertise, however staff may be crossed trained in any of the areas when needed. This position requires independent judgement, initiative, and learning the necessary specialized knowledge to carry out established procedures and apply government regulations while completing work accurately on a timely basis. **ESSENTIAL DUTIES (specific):** Accounting Clerk – Review and process accounts payable invoices, monthly journal entries, client account maintenance, credit card payments, monitoring client accounts for collectability, monthly statements, bank deposits, file probate and estate claims timely, review bankruptcy notices, scan miscellaneous documents and reports. Accounts Receivable – Import electronic remittance advice (835) files into the EMR System, application of payments from third party payers and clients in the EMR System, month end reconciliations, journal entries, and aging reports. Inpatient Billing – Bill guarantors and third party payers for services rendered from Nicolet Psychiatric Hospital and Bay Haven CBRF, utilizing electronic medical record software in a timely and accurate manner. Identify and resolve billing errors, rejections, and denials with insurance companies to obtain payments. Inpatient and Outpatient Admissions – Collect payer and demographic information from new clients and/or other responsible party upon admission, entering information into client software database. Confirm that the existing information for returning clients is accurate and updated as needed. Contact insurance companies requiring pre-authorization of services on a timely basis. Ensure proper signed releases have been obtained prior to submission of claims. Nursing Home Admissions and Billing – Collect payer and demographic information from new residents and/or other responsible party upon admission, entering information into client software database. Confirm that the existing information for returning clients is accurate and update as needed. Contact insurance companies requiring pre-authorization of services on a timely basis. Ensure proper signed releases have been obtained prior to submission of claims. Bill guarantors and third party payers for services rendered from Bayshore Nursing Home using electronic medical record software in a timely and accurate manner. Identify and resolve billing errors, rejections, and denials with insurance companies to obtain payments. Outpatient Billing – Bill guarantors and third party payers for services rendered from the Outpatient Clinic using electronic medical record software in a timely and accurate manner. Identify and resolve billing errors, rejections, and denials with insurance companies to obtain payments. Community Services Billing – Bill guarantors and third party payers for services rendered from the Community Services programs using electronic medical record software in a timely and accurate manner. Identify and resolve billing errors, rejections, and denials with insurance companies to obtain payments.**Knowledge, Skills and Abilities:** Knowledge of general office procedures. Knowledge of Microsoft Office applications. Knowledge of bookkeeping and appropriate procedural methods of the department. Knowledge of and ability to utilize a computer and the required software. Ability to perform full data entry functions. Ability to learn and apply specialized knowledge and skills of the department. Ability to make simple a…