Senior Insurance Billing Clerk-Patient Accounting-Billing (Riverside)
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Job Location:
Riverside, CA - USA
Yearly Salary:
$ 49647 - 73887
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
For questions regarding this position please contact the Recruiter listed in the Supplemental Information section.
ABOUT THE POSITION
The Riverside University Health System (RUHS) -Patient Accounting - Billing Divisionseeks to fill a Senior Insurance Billing Clerk position (located in Riverside).
Under general supervision to lead and perform 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.
Incumbents in this class are responsible for functionally leading and planning the daily activities of Insurance Billing Clerks and Office Assistants as well as performing the more difficult billing procedures. This class is distinguished from the Insurance Billing Supervisor class in that incumbents in this class are not responsible for interpreting policies rules or regulations on billing related matters or assisting in the coordination of procedures among various patient accounts systems.This position performs hospital facility billing and collections including denied claim follow-up complex account resolution and payor communication. The role prepares appeals and correspondence verifies patient insurance and eligibility and provides guidance and support to staff on complex billing issues. The position also serves internal and external clients and ensures accurate billing in compliance with regulations and contractual obligations.
The role includes performing hospital facility billing and collections including complex account resolution and follow-up on denied claims. Responsibilities involve reviewing and interpreting payor contracts regulations and legal obligations as well as drafting correspondence dispute letters and appeals for hospital billing and special programs. The position also requires verifying patient insurance coverage eligibility and authorizations reviewing accounts for accuracy responding to inquiries from patients insurance companies and internal departments and initiating calls for billing follow-up while coordinating with internal and external stakeholders.
Additional duties include leading and training staff serving as a resource for complex billing issues and providing customer service support to internal and external clients. The role also involves reviewing and correcting data entry for billing claims appeals and reports to ensure accurate account records. Preferred qualifications include a high school diploma or equivalent three years of hospital medical billing or collections experience knowledge of hospital facility collections practices and experience with Medi-Cal Medicare Managed Care commercial and government payors as well as the Epic Patient Accounting system. Strong attention to detail goal orientation and effective written and verbal communication skills are required with bilingual Spanish and a medical billing certificate preferred.
Work Schedule: Will be discussed during the interview (Tentative9/80)
Work Location: 7898 Mission Grove Pkwy S Ste# 200 Riverside CA 92508Meet the Team!
Every day at Riverside University Health System Medical Center a dedicated team of healthcare professionals and support staff come together to improve lives across Riverside County. Our nationally recognized programs and specialized services thrive because of the diverse talents and commitment of our team members. No matter your background or skill set youll discover meaningful opportunities and a strong sense of purpose here.To learn more about RUHS Medical Center please visit
EXAMPLES OF ESSENTIAL 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 ATPs 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.MINIMUM QUALIFICATIONS
Experience: Two years experience performing fiscal statistical and fiscal record keeping functions with at least one year involving third party intermediary medical billing.
Knowledge of:Methods and terminology of financial and statistical clerical work including knowledge of general clerical auditing and verification techniques; General billing medical terminology and billing forms with knowledge of the application of computerized accounting systems.
Ability to:Lead staff; Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; Perform basic mathematical computations rapidly and accurately; Organize work to meet prescribed deadlines.SUPPLEMENTAL INFORMATION
For further information regarding this posting contact the recruiter: Anay Sanchez at or call . Due to the high volume of calls please allow up to 2 business days to receive a response.
APPLICATION INFORMATION
Veterans Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify attach the required documents to your job application. Documents include a copy of your (or your spouses) Member-4 Form DD-214 indicating dates of service. For spousal preference and as applicable the following documents: a copy of your marriage certificate spouses death certificate a letter of spouses disability and/or letter of service-related death (if available) from the U.S. Veterans Administration. For privacy reasons it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans preference. For complete details and documentation requirements please review the Veterans Preference Policy C-3 here: Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation please visit the Disability Access Office web page located at: of Education
If using education to qualify or when requested by the recruiter upload a copy of any license(s) official/unofficial transcript(s) degrees and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.If your education was completed outside of the United States you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators Inc. (AICE).
Work Authorization Requirement
Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs including H1-B visas and will not provide sponsorship for any employment-based visas.Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race color religion sex national origin age disability sexual orientation gender gender identity gender expression marital status ancestry medical condition (cancer and genetic characteristics) genetic information or denial of medical and family care leave or any other non-job-related factors.Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.Probationary Period
As an Approved Local Merit System all County of Riverside employees except those serving At Will are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding County Resolution or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.
Please read and follow any special application instructions on this posting. Click the Apply link located on this page to submit your application. For additional instructions on the application process examinations Veterans preference pre-employment accommodation or other employment questions please refer to our web site .
If you are experiencing technical problems you may contact the applicant support desk Monday through Friday 6 am to 5 pm Pacific Time at or toll-free 1-.
Required Experience:
Senior IC
