Lead Billing Follow Up Associate

Adventist Health•Roseville, CA

About The Position

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.

Requirements

High School Education/GED or equivalent
Five years' relevant experience
Two years’ medical billing and collections experience

Nice To Haves

Associate’s/Technical Degree or equivalent combination of education/related experience

Responsibilities

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.
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.