Temporary Senior Insurance Billing Clerk Patient Accounting-Billing

For questions regarding this position please contact the Recruiter listed in the Supplemental Information section.

ABOUT THE POSITION

The County of Riverside - Riverside University Health System (RUHS) - Medical Center is seeking a Senior Insurance Billing Clerk to join their Patient Accounting-Billing team in Riverside.

Under general supervision the incumbent will be responsible for reviewing and making follow-up determinations on denied claims while performing complex account resolution leading and training staff serving as a trusted resource in navigating challenging problems related to procedures regulations and complex accounts drafting original correspondence dispute letters and appeals to payorsspecifically for facility (hospital) billing and special programsand providing exceptional customer service support to both internal and external clients interpreting and explaining regulations contractual language and legal obligations monitoring accounts for payment and recommending solutions for delinquent accounts reviewing patient insurance forms for accuracy contacting patients and insurance companies to obtain treatment authorizations and verify eligibility responding to requests for account information and initiating calls to patients insurers and internal or external departments regarding billing and follow-up matters; leading and performing specialized and more difficult fiscal clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required.

The most competitive candidate will have professional experience and knowledge with/of the following:
- Possess a medical billing certificate
- At least 5 years of medical billing and/or collections specifically in a hospital setting
- Epic
- Ability to review and interpret payor contracts
- Knowledge of diverse payor mix - Medi-Cal Medicare Managed Care Commercial and other Government payors
- Bilingual
The ideal candidate will also be detail and goal oriented and have good verbal and written communication skills.

Work schedule:
9/80 schedule with every other Friday off: Monday Thursday 7:00am 4:30pm and working Friday from 7:00am -3:30pm

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 countys only Pediatric Intensive Care Unit (PICU). If youre 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

EXAMPLES OF ESSENTIAL DUTIES

Leads and trains staff; Serves as a resource for staff in the solution of difficult problems relating to procedures and regulations; Assists staff in resolving a variety of difficult problems.
Checks and corrects bills and accounts for numerical accuracy proper coding and prepares ATPs for data entry.
Reviews patient accounts to determine the accuracy of account information and makes any required adjustments for proper billing purposes.
Registers patients for medical services such as emergency treatment care and non-emergency walk-in treatment.
Verifies billing account or insurance forms for completeness and accuracy against a variety of automated and manual records.

MINIMUM QUALIFICATIONS

Experience: Two years experience performing fiscal statistical and fiscal record keeping functions with at least one year involving third party intermediary medical billing.

Knowledge of: Methods and terminology of financial and statistical clerical work including knowledge of general clerical auditing and verification techniques; General billing medical terminology and billing forms with knowledge of the application of computerized accounting systems.
Ability to: Lead staff; Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; Perform basic mathematical computations rapidly and accurately; Organize work to meet prescribed deadlines.

SUPPLEMENTAL INFORMATION

Application Status
How to confirm your application was received or check on the status of your application log-in to click on your name in the upper right corner and click on Applications & Status.

Sign Up for Job Alerts
Go to click on Careers click on County Job Openings and click on Subscribe to Job Alerts icon.

For questions regarding this recruitment:
Contact Ahjah Davis - Solomon at or . Please allow 1-2 business days for response to general inquires.

APPLICATION INFORMATION

Veterans 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 spouses) Member-4 Form DD-214 indicating dates of service. For spousal preference and as applicable the following documents: a copy of your marriage certificate spouses death certificate a letter of spouses disability and/or letter of service-related death (if available) from the U.S. Veterans 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: 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: Location and Telework
In-person attendance is the standard work expectation for County of Riverside assignments. Certain assignments may be eligible for a hybrid telework schedule; however telework arrangements are subject to management approval operational needs and/or may be modified or discontinued at any time. Employees who telework are expected to be able to report to their assigned worksite on short notice or as operational needs require. Unless otherwise specified for a particular position employees are expected to reside in California following appointment. Limited exceptions may apply. Applicants should contact the assigned recruiter for additional information regarding work location expectations telework eligibility and residency requirements.

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 job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the Apply link located on this page to submit your application. For additional instructions on the application process examinations Veterans preference pre-employment accommodation or other employment questions please refer to our web site .

If you are experiencing technical problems you may contact the applicant support desk Monday through Friday 6 am to 5 pm Pacific Time at or toll-free 1-.

Required Experience:

Senior IC