Job Description

Office Service Clerk - General

PAY RATE - $ 18.22

JOB SUMMARY:
The Office Service Clerk is responsible for assisting with the fee for service documents as it pertains to professional and or institutional medical billing. Responsibilities include review, data entry, interpretation of materials/documents, printing, filing, sorting, mailing, emailing, compiling notices and files, pulling voice mail messages, responding to emails, maintaining and ordering supplies, and completing reports. This employee must have good interpersonal skills, the ability to complete correspondence and applicable forms to obtain information necessary for claim adjudication and or corrections to files. This position may be required to review letters from physicians/hospitals to determine payable procedures and or recipient/provider eligibility. This position has many changing procedures in order to meet state and federal requirements while maintaining acceptable performance levels based upon standards for production and quality.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Answer all incoming phone calls in accordance with MMA policies and procedures and respond to client inquiries.
• Prepare client letters based upon route slip restrictions, to include copying and mailing as deemed necessary.
• Scan and file all client correspondence, letters and documents.
• Process all incoming mail to include opening, stamping and distributing mail and correspondence to the appropriate designee.
• Provide other clerical support services as necessary such as photocopying, scanning, preparing outing mail, processing case closures, performing system note screen updates, and aiding with special assignments.
• Pick up record storage boxes from various MMA units and move the boxes to storage rooms as instructed.
• Move boxes to shelves and pallets and shrink-wrap.
• Retrieve claim files from storage boxes; review and sort their contents, reorganize and repack as directed.
• Update records in web-based data systems.

MAILROOM DUTIES:

• Sort and cut open all mail according to service type (HCFA 1500, UB-04, etc)
• Scan invoices for provider information and signature. Review, count, and batch claims according to their service type and fill in the proper information on the batch control sheet. Forward the completed batches to the assigned area to have a batch number assigned and microfilmed.
• Review microfilmed batches and fill in proper areas on the batch control sheet.
• Key batches into the batch control database. Batches are then delivered to Data Entry to be forwarded to an outside vendor to be keyed. Some batches are sent to the exam Entry unit in-house to be keyed. Claims that are keyed in-house are keyed by the state, contractual, and temporary employees.
• Retrieve claims from storage when needed.
• Proper handling and disposition of tapes, mail, and UPS.
• Log certified mail and checks received.
• Provide customer service for the Medicaid mailroom.

EDUCATION AND/OR EXPERIENCE:

• High School diploma or equivalent preferred
• Basic Math skills.

CERTIFICATES, LICENSES, REGISTRATIONS:

• None

QUALIFICATION REQUIREMENTS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

KNOWLEDGE, SKILLS, AND ABILITIES:

• General experience working in an office setting.
• Ability to perform repetitive motion for long periods of time

PHYSICAL REQUIREMENTS:
Must be able to lift boxes up to 35 lbs. May be required to regularly sit for extended periods of time, walk, reach with hands/arms with full range of motion. Regularly required to talk and hear

WORK ENVIRONMENT:
The noise level is usually moderate.

REPORTS TO : Manager on duty

EOE/MFDV

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