Posting number: 26-15909-14ADS
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
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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:
The ideal candidate will also be detail and goal oriented and have good verbal and written communication skills.
9/80 schedule with every other Friday off: Monday – Thursday 7:00am – 4:30pm and working Friday from 7:00am -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
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.
How to confirm your application was received or check on the status of your application, log-in to www.GovernmentJobs.com, click on your name in the upper right corner, and click on "Applications & Status".
Go to www.RC-HR.com, click on "Careers", click on "County Job Openings", and click on "Subscribe to Job Alerts" icon.
Contact Ahjah Davis - Solomon at ahdavis@rivco.org or 951-955-9233. Please allow 1-2 business days for response to general inquires.
We are seeking passionate people who are committed to solving critical issues while realizing their purpose!
Riverside County is the fourth largest county in the State of California, stretching nearly 200 miles across and comprising over 7,200 square miles of fertile river valleys, low deserts, mountains, foothills and rolling plains. Riverside County shares borders with densely populated Los Angeles, Imperial, Orange, San Diego, and San Bernardino Counties...extending from within 14 miles of the Pacific Ocean to the Colorado River.
