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Adventist Health · 1 month ago

Lead Billing Associate

ONE Adventist Health Way, Roseville, CA, 95661, US

Full-time

Onsite

Senior Level

$24/hr - $29.26/hr

5+ years exp

Adventist Health is a healthcare organization based in Roseville, California, committed to the well-being of its associates and patients. The Lead Billing Associate is responsible for performing billing and account activities to ensure compliant claims are submitted to payors, acting as a resource for billing associates, and conducting training for complex claims.

Elder CareHealth CareHospitalMedicalNon ProfitWellness

Responsibilities

Reviews, corrects and submits claims to payers. Acts as the billing systems super user. Meets and exceeds corporate clean claims standards. Provides guidance to staff within the latitude of established work area and policies. Works on assignments that are considerably difficult requiring judgment in resolving issues or in making recommendations. Works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use

Resolves discrepancies and processes and adjustments as needed. Runs and distributes reports to appropriate personnel. Identifies and flags problem accounts for intervention. Tracks and trends payer claims issues. Drives clean claims performance

Generates, reviews and distributes department reports. Ensures completion, accuracy, and clarity of all billing requirements. Keeps confidential all financial and accounting records. Provides communication regarding accounts in a timely and professional manner

Helps coordinate staff scheduling. Assists with new-employee orientation and staff education and training as needed. Advises on selection process of potential employees

Collaborates with other departments to resolve issues, share ideas and make procedural improvements. Assists with distribution of work queues

Performs other job-related duties as assigned