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SalaryCome and join the RMC Family!
We have been in the community since 1935. 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: Monday - Friday; 8:00a - 5:00p
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 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.
Our operating philosophy is as effective today as it was 40 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 81,000 employees and through its subsidiaries operates more than 320 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 
