Account Clerk III (Medical Reimbursement)

$41,517 - $45,599/Yr

Unclassified - Glen Allen, VA

Full-time

Glen Allen, VA

About the position

The Account Clerk III (Medical Reimbursement) position at Henrico County involves performing highly responsible technical reimbursement and medical billing work related to the financial operations of the Department of Mental Health and Developmental Services. This role is crucial in ensuring that reimbursement processes for mental health and substance use disorder services are handled efficiently and accurately. The clerk will be responsible for keying in service and client billing, obtaining necessary authorizations, and addressing inquiries related to billing. This position requires a strong understanding of complex billing processes, including posting, balancing, analyzing, and reconciling reimbursement activities. In addition to managing accounts receivables for long-term and self-pay accounts, the clerk will generate billing and client statements, conduct research, and resubmit claims as necessary. The role also involves reconciling and following up on outstanding third-party claims, denials, rejections, and account corrections, particularly in relation to Medicare, Commercial, Medicaid, Magellan, and various Managed Care Organizations. The clerk will actively participate with supervisors, business managers, program staff, reimbursement staff, clients, and third-party payers to maintain current standard operating procedures and contribute to special projects as required. Candidates should possess considerable knowledge of methods used in keeping fiscal accounts and records, as well as a good understanding of office terminology, procedures, and equipment. The ability to perform complex mathematical calculations quickly and accurately is essential, along with the capability to understand and carry out complex oral and written instructions. Establishing and maintaining good working relationships with employees and the public is also a key aspect of this role.

Responsibilities

• Responsible for reimbursement processes for mental health and substance use disorder services for various insurance carriers.
• Key service and client billing, obtaining authorizations, and responding to billing inquiries.
• Manage complex billing, posting, balancing, analyzing, and reconciling reimbursement processes.
• Handle accounts receivables for long-term and self-pay accounts, generating billing and client statements.
• Research, resubmit, reconcile, and follow up on outstanding third-party claims, denials, rejections, and account corrections.
• Participate with supervisors, business managers, program staff, reimbursement staff, clients, and third-party payers in maintaining standard operating procedures.

Requirements

• Graduation from high school, preferably with bookkeeping and business coursework.
• Four (4) years of clerical/bookkeeping work experience, or an equivalent combination of experience and training.
• Considerable knowledge of methods used in keeping fiscal accounts and records.
• Good knowledge of office terminology, procedures, routines, and equipment.
• Some knowledge of accounting principles and practices.
• Ability to perform complex mathematical calculations quickly and accurately.
• Ability to understand and carry out complex oral and written directions.
• Ability to research a variety of data.
• Ability to establish and maintain good working relationships with employees and the public.

Nice-to-haves

• Experience working in a healthcare setting in the area of authorizations and reimbursement.
• Experience with both Cerner and Credible systems.

Benefits

• Competitive compensation package.
• Close-knit atmosphere with low employee turnover.
• Financial stability through a comprehensive benefits package.