PATIENT ACCOUNTS REP- Full Time

Job Description

Responsibilities

Come and join the RMC Family!

We have been in the community since 5. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care.

SUMMARY : Responsible for the accurate and timely processing of fee-for-service claims and account collections. Responsible for obtaining necessary information for the proper billing and / or collections of fee-for-service accounts.

QUALIFICATIONS : To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

HOURS : 8 : AM- 5 : PM

Qualifications

EDUCATION and / or EXPERIENCE : High school diploma or GED required. Knowledge of medical terminology required. Two years prior experience in medical billing / collections is preferred.

CERTIFICATES, LICENSES, AND REGISTRATIONS : None.

ESSENTIAL FUNCTIONS :

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Note : (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing).

1. Assist the supervisor as requested.

2. Review, adjust and or mail out all assigned tracer claims

3. Initiate claims review or appeals, as indicated on assigned explanation of benefits.

4. Review, adjust and / or process all assigned correspondence.

5. Display a professional attitude through performance, appearance and demeanor.

6. Back up phones.

7. Work assigned aging :

A. Contact insurance carriers to check on claims status.

B. Review Explanation of Medical benefits to verify accuracy of reimbursement.

C. Verify insurance coverage

D. Initiate necessary account adjustments, change of charges or refunds, as indicated.

This opportunity offers the following :

Challenging and rewarding work environment

Growth and Development Opportunities within UHS and its Subsidiaries

Competitive Compensation

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.