Medicaid III

We Are Hiring

At Riverside, everyday brings new and exciting challenges. You can expect an interesting environment where you're part of making sure our organization is running optimally and safely, helping keep the community healthy. We provide the kind of paid training and opportunities that long-term careers are built on and we recognize hard workers who strive to make a difference. You will be able to succeed in our close-knit, safety-focused culture working together as a team. The careers we offer are meaningful because the work we do matters. Join us

FTE: 1.000000

Shift: Days

Location: HOOVER

Summary:

Experience and Education

• High School graduate or equivalent
• Previous Collections or Insurance experience within last 3 years, preferred
• Excellent guest relation skills, including verbal and written
• ICD10/CPT Medical terminology preferred
• PC and Keyboarding Skills (30 WPM preferred)
• Ability to work independently
• Two years hospital patient accounting experience (preferred)
• Ability to act as a preceptor

License or Certification Requirements:

Responsibilities:

* Maintain patient demographic information.

* Provides accurate and timely billing of all electronic and paper claims, including but not limited to: download, edit and transmit claims.

* Understands billing requirements for Medicaid and Medicaid Replacement plans billing as defined by contract, state or federal law.

* Ability to accurately review and bill all Secondary and Tertiary insurances to correct charges, bill forms and supporting documentation (EOBs).

* Responsible for timely and accurate review of the rejected claims to ensure that all claims were accepted by the payer. Also has the knowledge to correct any rejections to ensure claims are rebilled timely.

* Oversee all daily billing activities, ensuring work queues are worked timely

* Maintaining A/R by the use of Telephone, Internet, Worklists, Queues, ATBs and appropriate letters. File and re-file claims to insurance companies.

* Appropriately identify denied claims, work to ensure that trends are identified and resolved quickly.

* Assists in training staff in addition to the Epic Principal Trainer

* Assists the Certified Trainer in writing and updating Tip Sheets and Visios.

* Other duties as assigned.

Education:
Essential:
* HIGH SCHOOL DIPLOMA

Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.

Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago's southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedications is respected, where superior performance is rewarded with competitive salaries and excellent benefits.

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