Insurance Billing Clerk - Patient Accounting

Rc HR; Riverside (CA); On-site; USD 25,000 - 39,000; Full time

Job summary

The 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 into the AVATAR NX billing system, reconciling pre- and post-billing reports, and processing financial paperwork with patient and insurer communication to ensure timely payments.

Ideal candidates will be detail-oriented with strong written and verbal communication skills and

Qualifications

• Experience in financial, statistical, or fiscal record-keeping; billing preferred.
• Knowledge of HIPAA and patient privacy requirements.

Responsibilities

• Verify medical insurance coverage and access patient account files.
• Prepare billing information for third-party intermediaries.
• Enter data from forms into the computer terminal; ensure accuracy.
• Review patient accounts for billing accuracy and apply corrections as needed.
• Respond to inquiries from patients regarding account status and billing procedures.

Skills

Microsoft Office Suite Knowledge

Confidentiality & privacy laws

Education

Secretarial sciences coursework

Occupational training in secretarial/science

Tools

AVATAR NX billing system

Microsoft Office

Job description

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!

For more information about RUHS Medical Center, please visit www.ruhealth.org

• 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.

Experience:

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

OR II: 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.
• 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.

For questions regarding this recruitment:

Contact Jesus Colin at [phone] or [e-mail]. Please allow 1-2 business days for a response to general inquiries.