Patient Access Spec/coord

4 weeks ago


Riverside, United States Riverside Medical Clinic Full time

**Responsibilities**:
**Come 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, 830a - 530p**

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 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.

**Benefit Highlights**:

- Challenging and rewarding work environment.
- Competitive compensation and paid time off.
- Excellent Medical, Dental, Vision and Life Insurance Plans.
- 401(K) with company match and discounted stock plan.

**EEO Statement**:
We believe that diversity and inclusion among our teammates is critical to our success.

**Notice**:
**Salary**: Starting from $21.00 to $30.38 an hour


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