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Job description
Insurance Billing ClerkThe County of Riverside - Riverside University Health System (RUHS) - Medical Center is seeking an Insurance Billing Clerk in Riverside. Under supervision, the incumbent will be responsible for possessing knowledge of billing requirements for a diverse payor mix - Medi-Cal, Managed Care, Commercial, and other government payors and programs, having an understanding of authorization requirements for government and non-government payors, retro authorization submissions and follow-up, reviewing patient accounts to verify the accuracy of information and make any required changes for proper billing purposes, reviewing and making follow-up determinations of denied claims, and customer service - may be required to initiate calls to patients, insurance companies, internal and external departments for billing and follow-up related matters; performing fiscal clerical work processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required.Work schedule: 1st 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 offMeet 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 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.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.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.
Worksite address
riverside, CA, 92501, US
Who can apply
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