Insurance Billing Clerk - Patient Accounting-Billing

Full Job Description

Under supervision, the incumbent will be responsible for understanding authorization requirements for both government and non-government payors, handling retro authorization submissions and follow-up, reviewing patient accounts to ensure accuracy for proper billing purposes, reviewing denied claims and determining appropriate follow-up actions, as well as, providing customer service by initiating calls to patients, insurance companies, and internal or external departments regarding billing and follow-up matters; performing fiscal clerical work processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required.

The ideal candidate will have professional experience and knowledge of the following:
- Knowledge of billing requirements for diverse payor mix – Medi-Cal, Medicare, Managed Care, Commercial and other Government payors (specifically, Government Payors & Programs)
- Hospital facility billing experience required
- Microsoft Excel
- At least 2 years of hospital billing and/or collections experience in a hospital setting
- Experience with Epic patient accounting system
- Detail and goal orientated
- Good verbal and written communication skills

Work schedule:
1^st 90 days of training - 5/40 schedule Monday-Friday 7:30am-4:00pm (Monday-Thursday) 7:00am-3:30p Friday. After 90 days - 9/80 M-F with rotating Friday off

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

Requirements

•Verify medical insurance coverage following established procedures; Access computerized account files to obtain or update information and data.
•Prepare billing information to third party intermediaries for services rendered or for fees or other related charges; Enter standard or coded data from forms or documents into computer terminal.
•Type a variety of numerical or alphabetical data which may include requisitions, claims, or reports; Review all patient accounts to verify the accuracy of information and make any required changes for proper billing purposes.
•Review patient insurance forms and cards for completeness and accuracy as required by medical assistance programs and private insurance carriers for filling and payment.
•Contact patient's medical insurance carrier to obtain authorization for treatment and to verify eligibility and coverage.
•Respond to requests for account information from patients concerning status of account, patient liability and general billing procedures.
•Check and correct account or numerical records for arithmetical errors or proper coding.

Qualifications

EITHER I
Experience: One year of experience performing financial, statistical, or fiscal record keeping work, including billing. (Medical billing experience is preferred but not essential.)

OR II
Experience: Two years of clerical experience, one of which involved making arithmetical computations of performing some financial, statistical, or fiscal record keeping and billing work, preferably medical billing;
One year of the non-specialized experience may be substituted by either:
Completion of 18 semester or 27 quarter units from a recognized college in secretarial sciences, business education or a closely related field.
OR
Completion of 369 hours of training from a recognized occupational training program in secretarial science business education, or a closely related field.

Physical requirements: position requires sitting 90% of the time.

Knowledge of: The basic methods, practices, and terminology of fiscal clerical work including general billing methods, procedures, and techniques; general clerical auditing and verification techniques; the application of a computer to automated accounting systems.
Ability to: Understand and apply basic billing procedures; identify routine billing errors; differentiate between various billing procedures and methods; determine appropriate applications of various billing procedures; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions.

Additional Information

For questions regarding this recruitment, contact Raven Padilla at rpadilla@rivco.org or 951/955-0780. Please allow 1-2 business days for response to general inquiries.