Lead Billing Follow Up Associate at Adventist Health

Roseville, California, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Mar, 26

Salary

0.0

Posted On

16 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing, Collections, Compliance Audits, Training, Communication, Problem Solving, Collaboration, Data Analysis, Medical Billing, Reimbursement, Charge Information, Coding Updates, Claim Appeals, Productivity, Quality Assurance, Confidentiality

Industry

Hospitals and Health Care

Description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Communicates with patients, government agencies and third party payers to gather, process and record information to receive appropriate reimbursement. Communicates with departments for charge information, coding updates, and other information for claim appeals. Completes billing and collection processes and prepares for distribution to appropriate sources. Review unpaid claims and obtain necessary information to resolve reimbursements. Checks own works and possibly the work of others. Acts as subject matter expert and conducts training. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Preferred Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred Five years' relevant experience: Preferred Two years’ medical billing and collections experience: Preferred Essential Functions: Conducts compliance audits and works with leadership to ensure compliance with company and regulatory standards. Educates staff in current and updated billing standards. Provides guidance to staff within the latitude of established work area and policies. Works on assignments that are considerably difficult requiring judgment in resolving issues or in making recommendations. Works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use. Collaborates with leadership to resolve claims processing delays in excess of legal and contractual requirements. Responds to billing-related issues or concerns. Consistently meets or exceeds productivity and quality performance expectations. Assists with projects, audits, surveys and statistics. Collaborates with other departments to resolve issues, share ideas and make procedural improvements. Assists with distribution of work queues. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Responsibilities

The Lead Billing Follow Up Associate communicates with patients and third-party payers to gather and process information for reimbursement. They also conduct compliance audits and collaborate with leadership to resolve claims processing delays.