Insurance Billing Clerk - Patient Accounting

County of Riverside; California; On-site; USD 42,000 - 56,000; Full time

Job summary

County of Riverside - Riverside University Health System (RUHS) - Behavioral Health is seeking an Insurance Billing Clerk to join the Patient Account team in Riverside. The role involves high-volume data entry in the AVATAR NX billing system, reviewing pre- and post-billing reports, and handling correspondence with insurance companies and patients while ensuring HIPAA compliance.

The ideal candidate will be detail- and goal-oriented with strong verbal and written communication skills, and

Qualifications

• One year of experience performing financial, statistical, or fiscal record keeping work, including billing.
• Medical billing experience is preferred but not essential.
• Experience with data entry and reconciliation processes.

Responsibilities

• Verify medical insurance coverage and access account files for updates.
• Prepare billing information to third party intermediaries and enter data into systems.
• Type numerical or alphanumeric data from forms and reviews patient accounts.
• Review patient insurance forms for completeness and accuracy for billing.
• Contact insurance carriers to obtain authorization and verify eligibility.
• Respond to patient inquiries about account status and billing procedures.
• Check and correct account records for arithmetical errors.

Skills

Data entry

Billing software

HIPAA compliance

Tools

AVATAR NX

Job description

About The Position

For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. The County of Riverside - Riverside University Health System (RUHS) - Behavioral Health is seeking an Insurance Billing Clerk to join their Patient Account team in Riverside. Under supervision, the incumbent will be responsible for performing high-volume data entry into the AVATAR NX billing system; reviewing and reconciling pre- and post-billing reports; and processing financial paperwork and related documentation. Verifies and enters insurance information, requests and reviews medical records, and follows up with insurance companies regarding claim payments. Corrects and rebills claims to third-party intermediaries as necessary. Prepares correspondence for insurance companies and patients and responds to patient calls to assist with account management and billing inquiries. Maintains accurate and confidential patient information and ensures all communications and activities comply with HIPAA requirements.

The ideal candidate will be detail and goal oriented, and possess good verbal and written communication skills.

Professional Experience And Knowledge Of The Following Is Preferred

• Microsoft Office Suite Knowledge
• Knowledge of confidentiality and privacy laws

Work Schedule

9/80, Schedule 1: Monday-Thursday 7:30 am - 5:00 pm Pay Friday 7:30 am - 4:30 pm. Non-Pay Friday off; or Schedule 2: Monday-Thursday 8:00 am - 5:30 pm Pay Friday 8:00 am - 4:30 pm Non-Pay Friday off

Meet the Team!

Founded in 1893, Riverside University Health System Medical Center has grown into a cornerstone of healthcare excellence and medical education in the region. Our highly skilled healthcare professionals and dedicated support staff are committed to delivering exceptional, state-of-the-art care to the diverse populations of Riverside County.

Located in Moreno Valley, our 439-bed Medical Center is home to a Level I Trauma Center, a Level II Pediatric Trauma Center, and the county’s only Pediatric Intensive Care Unit (PICU). If you’re passionate about making a meaningful difference and helping others, RUHS Medical Center is the place for you!

Examples Of Essential Duties

• 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.

Minimum Qualifications

EITHER I

Experience: One year of experience performing financial, statistical, or fiscal record keeping work, including billing. (Medical billing experience is preferred but not essential.)

OR II

Experience: 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;

One year of the non-specialized experience may be substituted by either:

Completion of 18 semester or 27 quarter units from a recognized college in secretarial sciences, business education or a closely related field.

OR

Completion of 369 hours of training from a recognized occupational training program in secretarial science business education, or a closely related field.

Physical Requirements: Position requires sitting 90% of the time, with or without reasonable accommodation.

Knowledge of: 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.

Ability to: 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.

Supplemental Information

Veteran's Preference

The County has a Veterans Preference Policy applicable to new hires. To qualify, attach the required documents to your job application. Documents include a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service. For spousal preference, and as applicable, the following documents: a copy of your marriage certificate, spouse's death certificate, a letter of spouse's disability and/or letter of service-related death (if available) from the U.S. Veteran's Administration. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. For complete details and documentation requirements, please review the Veterans Preference Policy, C-3 here: https://rivcocob.org/board-policies

Reasonable Accommodations

The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability

Schedule, Overtime, Standby/On-Call, and Travel Obligations

The County of Riverside offers a variety of alternative work schedules, dependent upon department operations and needs. Certain assignments may involve overtime, standby/on-call shifts, and/or travel; however, scheduling, shift assignments, overtime work, standby/on-call duty, and travel obligations are subject to management approval, operational needs, and/or may be modified or discontinued at any time. Applicants should contact the assigned recruiter for additional information regarding the schedule, overtime and standby/on-call expectations, and travel obligations.

Proof of Education

If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE).

Work Authorization Requirement

Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer

The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.

Pre-Employment

All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period

As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information

Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the classification or job posting will not be considered.

Please read and follow any special application instructions on this posting.

For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site, www.rc-hr.com.