Billing Rep - Per Diem

LE01 Valley Children's Hospital; United States; On-site; USD 35,000 - 51,000; Full time

Job summary

Valley Children's Healthcare is seeking a dedicated insurance/billing specialist to review authorizations, manage claims, and submit them to payers. The role involves proactive follow-up on payments, processing contract adjustments, and billing secondary payers while adhering to established procedures.

Ideal candidates will have a High School Diploma or GED and at least one year of related experience in medical insurance authorization or billing, with preferred registration experience in a

Qualifications

• Education: High School Diploma/G.E.D. (required).
• Minimum one year experience in obtaining medical insurance/government authorization or medical insurance/government billing (required).
• Registration experience in physician practice, clinic/hospital care setting (preferred).

Responsibilities

• Review insurance/government authorizations, claims and submit claims to payers.
• Follow up on all accounts for payment and process contract adjustments.
• Bill secondary payers and follow established workflows and procedures.
• Utilize multiple office systems to complete daily tasks.

Education

High School Diploma/G.E.D.

Job description

Job Summary

Responsible for reviewing insurance/government authorizations, claims and submitting claims to payers for processing. Follows up on all accounts for payment, processes contract adjustments and bills secondary payers. Follows established pathways and procedures for all operations. Accountable for the utilization of multiple office systems.

Qualifications

• Education High School Diploma/G.E.D. (required)
• Work Experience Minimum one (1) year Experience in either obtaining medical insurance/government authorization or medical insurance/government billing (required)
• Registration experience in physician practice, clinic/hospital care setting (preferred)

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Compensation Range

$25.36 - $36.70

Workshift and Employment Details

Workshift: Position Exempt: No FTE %: 100 Scheduled Weekly Hours: 40 Daily Hours: 8

Valley Children's Healthcare - one of the largest pediatric healthcare networks in the nation - provides Central California's only high-quality, comprehensive care exclusively for children, from before birth to young adulthood. With more than 670 physicians and 3,500 staff, Valley Children's delivers high-quality, comprehensive care to more than 1.3 million children in our service area. Our network offers highly specialized medical and surgical services to care for children with conditions ranging from common to the highly complex at our 358-bed stand-alone children's hospital that includes 28 regional NICU beds. Our family-centered, pediatric services extend from a leading pediatric cancer and blood disorders center home on the West Coast, and a pediatric heart center known for its expertise and pioneering treatments, to a Regional Level IV neonatal intensive care unit (NICU), the highest level referral center between Los Angeles and the Bay Area. We participate in community initiatives, we support community efforts, we get involved where we can do the most good.