Insurance Billing Clerk - Patient Accounting

The County of Riverside – Riverside University Health System (RUHS) Behavioral Health is seeking an Insurance Billing Clerk to join the Patient Accounting team in Riverside. Responsibilities Under supervision, the incumbent will be responsible for identifying pre‑billing errors, communicating with program staff regarding error corrections, and completing follow‑ups in a timely manner; performing fiscal clerical work processing and billing fiscal intermediaries for medical services rendered to patients; and other related tasks as required. In addition to working with members to address billing issues, the team works closely with program, contractor, and substance use staff to identify and correct pre‑billing errors so that claims can be prepared for submission. The ideal candidate will be hands‑on, have professional clerical experience, work independently, and demonstrate adaptability. Key billing duties include: 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 the 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. Work Schedule Monday–Thursday: 7:30 am – 5:00 pm Pay Friday: 7:30 am – 4:30 pm (Non‑Pay Friday off) Qualifications Experience (Option I) One year of experience performing financial, statistical, or fiscal record‑keeping work, including billing. Medical billing experience is preferred but not essential. Experience (Option II) Two years of clerical experience, one of which involved making arithmetical computations or performing financial, statistical, or fiscal record‑keeping and billing work, preferably medical billing. One year of the non‑specialized experience may be substituted by: 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. Knowledge of basic methods, practices, and terminology of fiscal clerical work including general billing methods, procedures, and techniques; general clerical auditing and verification techniques; and 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; post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. #J-18808-Ljbffr County of Riverside