Healthcare AR Specialist: Billing & Collections Pro

Riverside Medical Clinic; Riverside (CA); Sur place; USD 42 000 - 60 000; Plein temps

Avantages offerts par ce poste

Challenging work environment

Growth opportunities within UHS and/or

Competitive compensation

Résumé du poste

Universal Health Services in Riverside, CA is seeking a qualified Medical Billing/Collections specialist. The role focuses on accurate and timely processing of fee-for-service claims and account collections within a large network.

Responsibilities include reviewing claims, initiating appeals, following up on denials, and maintaining communication with insurance carriers to ensure timely resolutions. Strong knowledge of medical terminology and prior billing experience are required.

Qualifications

• Two years prior experience in medical billing/collections is REQUIRED.
• Knowledge of medical terminology required.
• High school diploma or general education degree required.

Responsabilités

• Assist supervisor as requested.
• Review, adjust, and mail out tracer claims and related correspondence.
• Initiate claim review and appeals per explanation of benefits.
• Review, adjust, and process all assigned correspondence and aging AR.
• Contact insurance carrier to check claim status and settle accounts.
• Verify insurance coverage and initiate necessary account adjustments and refunds.
• Investigate denials to determine root causes and prepare appeals.
• Communicate with insurers and payers to resolve denials and obtain information for appeals.

Connaissances

Medical billing

Collections

Communication

Formation

High school diploma

Description du poste

Universal Health Services in Riverside, CA is seeking a qualified Medical Billing/Collections specialist. The role focuses on accurate and timely processing of fee-for-service claims and account collections within a large network.

Responsibilities include reviewing claims, initiating appeals, following up on denials, and maintaining communication with insurance carriers to ensure timely resolutions. Strong knowledge of medical terminology and prior billing experience are required.