Insurance Billing Clerk - Patient Accounting

Insurance Billing ClerkThe County of Riverside - Riverside University Health System (RUHS) - Behavioral Health is seeking an Insurance Billing Clerk 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. 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 offExamples 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 QualificationsEITHER 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 InformationApplication Status 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 Jesus Colin at View phone number on click.appcast.io or View email address on click.appcast.io. Please allow 1-2 business days for a response to general inquiries.BenefitsBENEFIT PROGRAM: UPE MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable LIUNA Memorandum of Understanding to contribute towards the cost of these plans. Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here.MISCELLANEOUS RETIREMENT : County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS). Tier I (Classic Member – Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent. Tier II (Classic Member – Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent. Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023 employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.A new member is defined as any of the following:A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System.A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS.A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.CalPERS refers to all members that do not fit within the definition of a new member as "classic members".Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.Note:This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to View email address on click.appcast.io or by calling the Benefits Information Line at View phone number on click.appcast.io, Option 2.If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at View phone number on click.appcast.io to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options. VACATION ACCRUAL (Bi-Weekly Accrual): 0 < 3 year = 80 Hours (10 Days) 4 < 9 years = 120 Hours (15 Days) 10 or more years = 160 Hours (20 Days) Maximum Vacation leave accumulation is 480 hours. SICK LEAVE: Four (4) hours Sick Leave accrual per pay period with unlimited accrual. HOLIDAYS: Normally 12 paid holidays per year BEREAVEMENT LEAVE: Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance) BASIC LIFE INSURANCE: Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase. DISABILITY: Employees contribute to State Disability Insurance (SDI), which provides wage replacement benefits for those unable to work due to non-work-related illness, injury, or pregnancy. SDI also includes Paid Family Leave benefits. The wage replacement rate, as defined by current law, is between 60-70% of