Adventist Health · 3 weeks ago
Lead Billing Follow Up Associate
Roseville, CA
Full-time
Onsite
Senior Level
5+ years expAdventist Health is a faith-based, nonprofit integrated health system serving over 100 communities. The Lead Billing Follow Up Associate will communicate with various stakeholders to ensure appropriate reimbursement and assist with billing processes, while also conducting compliance audits and training staff.
Elder CareHealth CareHospitalMedicalNon ProfitWellness
Responsibilities
Communicates with patients, government agencies and third party payers to gather, process and record information to receive appropriate reimbursement
Communicates with departments for charge information, coding updates, and other information for claim appeals
Completes billing and collection processes and prepares for distribution to appropriate sources
Review unpaid claims and obtain necessary information to resolve reimbursements
Checks own works and possibly the work of others
Acts as subject matter expert and conducts training
Conducts compliance audits and works with leadership to ensure compliance with company and regulatory standards
Educates staff in current and updated billing 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
Collaborates with leadership to resolve claims processing delays in excess of legal and contractual requirements
Responds to billing-related issues or concerns
Consistently meets or exceeds productivity and quality performance expectations
Assists with projects, audits, surveys and statistics
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
Qualification
Required
High School Education/GED or equivalent
Associate's/Technical Degree or equivalent combination of education/related experience
Five years' relevant experience
Two years' medical billing and collections experience
Company
Adventist Health
Adventist Health is a Adventist Health is a not-for-profit health care organization .
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Gwen Mathews
CEO Ukiah Valley Medical Center, SrVP Operations AH Northern Cal Network
Kerry L. Heinrich
President and CEO
Recent News
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