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 preparation, submission, and online entry of Vision and Chiropractic services. Manages related Charge Review WQs, posts payments to billed charges, and maintains tracking log for timely submission and follow up.
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 : Monday- Friday 8 : AM- 5 : PM
Qualifications
EDUCATION and / or EXPERIENCE : High school diploma or general education degree 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. Process all incoming PPO authorization requests.
A. Contact payer to verify eligibility.
B. Call or access the payer internet websites to initiate authorization request.
C. Obtain necessary information from provider or medical record to support authorization, as requested by the payer.
D. Track and monitor, through completion of the authorization request and update and clinic PM.
3. Assist in verifying eligibility for hospital registrations.
4. Assist in updating of patient accounts.
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.
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