Senior Medical Billing & Denials Lead (Temp)

Ruhealth; Riverside (CA); On-site; USD 45,000 - 65,000; Full time

Job summary

Riverside University Health System Medical Center in Riverside, CA seeks a Senior Insurance Billing Clerk to join the Patient Accounting-Billing team. The role involves handling denied claims, complex account resolution, staff training, and advising payors and patients on billing matters.

The ideal candidate has 5+ years hospital billing experience, a medical billing certificate, proficiency with Epic, and bilingual abilities to navigate diverse payor contracts and regulatory requirements.

Qualifications

• Must have a medical billing certificate.
• At least 5 years of medical billing and/or collections in a hospital setting.
• Experience with Epic software.
• Ability to review and interpret payor contracts.
• Knowledge of Medi-Cal, Medicare, Managed Care, Commercial and other government payors.
• Bilingual in English and another language.

Responsibilities

• Lead and train staff on billing processes.
• Review and follow up on denied claims and perform complex account resolution.
• Draft appeal letters and communicate with payors; handle notices and disputes.
• Verify patient insurance information and eligibility; assist patients and internal departments.
• Ensure accuracy of bills and preparation of ATPs for data entry; monitor accounts for payment.

Skills

Bilingual

Denial management

Follow-up on claims

Education

Medical billing certificate

Tools

Epic

Job description

Riverside University Health System Medical Center in Riverside, CA seeks a Senior Insurance Billing Clerk to join the Patient Accounting-Billing team. The role involves handling denied claims, complex account resolution, staff training, and advising payors and patients on billing matters.

The ideal candidate has 5+ years hospital billing experience, a medical billing certificate, proficiency with Epic, and bilingual abilities to navigate diverse payor contracts and regulatory requirements.