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Insurance Billing Clerk - Patient Accounting-Billing

The County of Riverside - Riverside University Health System (RUHS) - Medical Center is seeking a Insurance Billing Clerk to join their Patient Account-Billing team in Riverside.

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 (s pecifically, 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•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...




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