HOME HEALTH CLERK

Definition and Role

The Home Health Clerk, under the direction of the Director of Revenue Cycle, enters information into the facility’s database using medical coding protocol to produce a statement or claim for Home Health. Acts as a liaison between the facility and payment parties, investigate the claim, verify its information, and update the database.

Job Responsibilities and Duties

• Verify and enter patient demographic and insurance information into practice management software Abstract information from medical record and assign appropriate codes, as necessary.
• Coordinate with Clinic Manager’s as needed for document signatures.
• Print/Upload medical records and prepare for billing.
• General sorting, filing, scanning, and faxing of documents and other duties as assigned.
• Submit claims to third party insurance carriers either electronically or by hard copy billing.
• Generate database reports.

Qualifications

• Must be driven and self-disciplined, especially if thinking of working in medical billing and coding from home.
• Being organized is essential since you will be dealing with patient files and documents.
• Attention to detail is also an important job requirement, as typos and inaccuracies can happen easily when using medical coding as a means of communication.
• Proper phone etiquette is necessary since phone conversations with providers and insurance carriers will be frequent.
• Basic knowledge of ICD 10-CM coding.
• Basic knowledge in Microsoft Excel.

Physical Requirements

• Mobility and Lifting: Frequent sitting for extended periods of time; frequent standing; frequent lifting up to 25 pounds.
• Visual: Constant ability to read information, including close up; constant ability to use a computer screen; frequent use of good overall vision, including color perception.
• Dexterity: Constant eye and hand coordination and manual dexterity to write, operate a computer keyboard and finely manipulate small objects.
• Emotional/Psychological: Constant ability to make decisions and concentrate.