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.
- This postion will be working in our audiology department and will be expected to assist in tasks assoicated with : testing equipment set up, operation and maintenance;
- clinical procedures, device orientation and training; hearing aid trouble shooting and repair; maintaining records related to patients, supplies, equipment;
clinical activities including patient intake, scheduling, referral management, chart record-keeping, provider support requests, follow-up, customer service and other administrative support.
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 GED required. Knowledge of medical terminology required. Two years prior experience in medical billing / collections is preferred.
CERTIFICATES, LICENSES, AND REGISTRATIONS : None.
ESSENTIAL DUTIES :
- Analyze and investigate denied claims to determine the root causes of denials, including coding errors, missing information, and billing discrepancies.
- Prepare and submit appeals for denied claims, utilizing a comprehensive understanding of payer requirements and regulations to maximize the likelihood of successful resolution.
- Resubmit corrected claims with the appropriate documentation and follow up to ensure timely processing.
- Communicate with insurance companies, payers, and other relevant parties to resolve denials and obtain information needed for appeals or resubmissions.
- Maintain regular follow-up with insurers to track the progress of appealed claims and escalate as necessary to achieve successful resolution.
- Stay informed about industry changes, billing regulations, and payer policies to ensure compliance with applicable laws and best practices.
This opportunity offers the following :
Challenging and rewarding work environment
Growth and Development Opportunities within UHS and its Subsidiaries
Competitive Compensation
One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance.
Steadily growing from a startup to an esteemed Fortune corporation, UHS today has annual revenue nearing $ billion. In 7, UHS was recognized as one of the World’s Most Admired Companies by Fortune;
ranked # on the Fortune , and listed # in Forbes inaugural ranking of America’s Top Public Companies.
Our operating philosophy is as effective today as it was years ago : Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.
Headquartered in King of Prussia, PA, UHS has more than , employees and through its subsidiaries operates more than acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.
S. Virgin Islands and the United Kingdom.
UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc.
Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc.
All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware.
Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware.
Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.
UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails.
All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and / or method without a valid written search agreement in place for this position will be deemed the sole property of UHS.
No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.
Patient Observation Assistant (full Time And Part Time)
Assists patient with ordering dietary tray and setting up of patient's meal tray; assists with basic positioning of patient; assists with patient wheelchair rides and/or ambulation if patient is stable and gait has been previously determined safe by assigned staff nurse. We are hiring immediatel...
Patient Care Technician Float Pool - Night Shift, Full Time
DescriptionPatient Care Technician Float PoolUnder general supervision by the RN, the dual role Patient Care Tech/Unit Secretary provides nursing staff with clerical support to assist in facilitating patient care and is responsible for providing basic nursing care for in-patients and out-patients as...
Patient Access Services Representative - Req #5994 - OB ED - Full Time Evenings (11am-730pm) Mon-Friday
Registers patients in a pleasant, professional, and timely manner, being sensitive to guest services. Conducts patient/guarantor interviews, explains hospital policies, financial responsibilities, and patient bill of rights. Previous work experience in an inpatient or outpatient admissions setting o...
Patient Representative - Full Time
SUMMARY: Provides Patient Care Services Representative coverage based on the Clinic requirements. Assumes all Patient Care Services Representative job responsibilities. Cooperate in the cross training of this position to ensure adequate coverage at all times: cooperate in being cross-trained to anot...
Customer Service Representative, Full or Part Time
Customer Service Representative. We want you to join our team as a Customer Service Representative. As a Customer Service Representative, you will enjoy:. You will greet customers, run the register, cashier, make purchase suggestions and sometimes work with our food program. ...
PATIENT EXPERIENCE LIAISON- Full Time
Verify patient information following patient registration criteria and inform patients of payment responsibility. Greets patients and ensures all patients have been registered properly and all patient information is updated and entered directly into the computer and any necessary forms have been com...
PATIENT SVC FACILITATOR- Full Time
Verify patient information following patient registration criteria and inform patients of payment responsibility. Greets patients and ensures all patients have been registered properly and all patient information is updated and entered directly into the computer and any necessary forms have been com...
Customer Service Representative, Full or Part Time
Customer Service Representative. We want you to join our team as a Customer Service Representative. As a Customer Service Representative, you will enjoy:. You will greet customers, run the register, cashier, make purchase suggestions and sometimes work with our food program. ...
PATIENT ACCESS SPEC/COORD- Full Time
Manages related Charge Review WQs, posts payments to billed charges, and maintains tracking log for timely submission and follow up. To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the...
Clinical Patient Access Rep - Patient Access Contact Center (Full-Time, 8 Hour, Day Shift) - Remote Eligible
The Clinical Patient Access Representative is the primary clinical point of contact for patients accessing Cedars-Sinai Health System for appointments and care related questions. The Clinical Patient Access Representative answers phone calls for both primary care and assigned specialties within the ...