Senior Insurance Billing Clerk - Patient Accounting-Billing
County of RiversideAbout the role
Posting number: 26-15909-02RP
Department: RUHS-Medical Center
Division: Patient Accounting-Billing
Job classification: SENIOR INSURANCE BILLING CLERK
Posting type: Open & Promotional
Categories: Clerical & Data Entry, Accounting and Finance, Medical Billing & Coding, Medical
Summary
The County of Riverside - Riverside University Health System (RUHS) - Medical Center is seeking a Senior Insurance Billing Clerk to join their Patient Accounting-Billing team in Riverside.
Under general supervision, the incumbent will be responsible for reviewing and making follow-up determinations on denied claims while performing complex account resolution, leading and training staff, serving as a trusted resource in navigating challenging problems related to procedures, regulations, and complex accounts, drafting original correspondence, dispute letters, and appeals to payors—specifically for facility (hospital) billing and special programs—and providing exceptional customer service support to both internal and external clients, interpreting and explaining regulations, contractual language, and legal obligations, monitoring accounts for payment, and recommending solutions for delinquent accounts, reviewing patient insurance forms for accuracy, contacting patients and insurance companies to obtain treatment authorizations and verify eligibility, responding to requests for account information, and initiating calls to patients, insurers, and internal or external departments regarding billing and follow-up matters; leading and performing specialized and more difficult fiscal clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required.
The most competitive candidate will have professional experience and knowledge with/of the following:
- Possess a medical billing certificate
- At least 3 years of medical billing and/or collections, specifically in a hospital setting
- Epic
- Ability to review and interpret payor contracts
- Knowledge of diverse payor mix - Medi-Cal, Medicare, Managed Care, Commercial and other Government payors
- Bilingual
The ideal candidate will also be detail and goal oriented and have good verbal and written communication skills.
Work schedule:
9/80 schedule with every other Friday off: Monday – Thursday 7:30am – 4:30pm and working Friday from 7:30am -3:30pm
Meet the Team!
Founded in 1893, Riverside University Health System Medical Center has grown into a cornerstone of healthcare excellence and medical education in the region. Our highly skilled healthcare professionals and dedicated support staff are committed to delivering exceptional, state-of-the-art care to the diverse populations of Riverside County.
Located in Moreno Valley, our 439-bed Medical Center is home to a Level I Trauma Center, a Level II Pediatric Trauma Center, and the county’s only Pediatric Intensive Care Unit (PICU). If you’re passionate about making a meaningful difference and helping others, RUHS Medical Center is the place for you!
For more information about RUHS Medical Center, please visit www.ruhealth.org
Examples of duties
•Leads and trains staff; Serves as a resource for staff in the solution of difficult problems relating to procedures and regulations; Assists staff in resolving a variety of difficult problems.•Checks and corrects bills and accounts for numerical accuracy, proper coding and prepares ATP's for data entry.
•Reviews patient accounts to determine the accuracy of account information and makes any required adjustments for proper billing purposes.
•Registers patients for medical services such as emergency treatment care and non-emergency walk-in treatment.
•Verifies billing account or insurance forms for completeness and accuracy against a variety of automated and manual records.
Qualifications
Experience: Two years experience performing fiscal, statistical and fiscal recorApply for this role
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