County of Riverside · 4 hours ago
Insurance Billing Clerk - Patient Accounting-Billing
The County of Riverside - Riverside University Health System is seeking an Insurance Billing Clerk to join their Patient Account-Billing team in Riverside. The role involves managing authorization requirements, handling billing processes, and providing customer service related to billing inquiries.
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Responsibilities
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 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
Qualification
Required
Knowledge of billing requirements for diverse payor mix – Medi-Cal, Medicare, Managed Care, Commercial and other Government payors (specifically, 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
One year of experience performing financial, statistical, or fiscal record keeping work, including billing
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
The basic methods, practices, and terminology of fiscal clerical work including general billing methods, procedures, and techniques
General clerical auditing and verification techniques
The application of a computer to automated accounting systems
Understand and apply basic billing procedures
Identify routine billing errors
Differentiate between various billing procedures and methods
Determine appropriate applications of various billing procedures
Perform basic arithmetic computations rapidly and accurately and post the results on accounting records
Organize work to meet prescribed deadlines
Operate automated keyboard equipment
Follow oral and written directions
Preferred
Medical billing experience is preferred but not essential
Completion of 18 semester or 27 quarter units from a recognized college in secretarial sciences, business education or a closely related field
Completion of 369 hours of training from a recognized occupational training program in secretarial science, business education, or a closely related field
Company
County of Riverside
County of Riverside is a government entity that provides regional administration, public services, and community support programs.