Insurance and Claims Representative
2 weeks ago
This position is accountable for the billing and collections of Renown healthcare claims, ensuring timely and accurate claim submission, maximizing reimbursement for those services rendered in order to maintain a consistent cash flow.
Nature and Scope
The Insurance and Claims Representative is responsible for:
•Accuracy and completeness of patient accounts for billing and follow-up of healthcare claims to ensure timely claim adjudication in accordance with Renown policies and healthcare payor rules and regulations.
•Review, evaluation and submission of additional documentation to payors that do not accept electronic claims or require special handling.
•Conducts prompt follow up with insurance companies by phone or reviewing online payor portals, performing necessary follow up action to obtain payment.
•Documenting the patient account and completing inquiries from patients, insurance companies, internal departments, attorneys and 3rd party payers in a timely manner while providing excellent customer service.
•Assisting with review and resolution of denials, credit balances or underpayments as assigned.
This position is required to operate within policy and procedural guidelines that will ensure accurate accounts receivable reporting and is compliant with policy and procedural guidelines consistent with Renown Health goals and objectives.
This position does not provide patient care.
Disclaimer
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name
Description
Education:
Must have working-level knowledge of the English language, including reading, writing and speaking English.
Experience:
Must have a minimum of six months applicable computer application experience in a business setting. Previous healthcare experience is preferred.
License(s):
None
Certification(s):
None
Computer / Typing:
Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
-
Experienced Insurance Sales Representative
2 days ago
Reno, United States Callahan Insurance & Financial Services Full timeJob DescriptionJob DescriptionCandidates must have an active Property and Casualty License to be considered. Join Callahan Insurance & Financial Services, a well-established insurance agency in Reno, Nevada, dedicated to providing exceptional insurance solutions to our clients. Our commitment to excellence and personalized service sets us apart in the...
-
Entry Level Insurance Sales Representative
2 days ago
Reno, United States Callahan Insurance & Financial Services Full timeJob DescriptionJob DescriptionJoin Callahan Insurance & Financial Services, a leading insurance agency located in the heart of Reno, Nevada. We are committed to providing personalized service to our clients, ensuring their insurance needs are met with care and expertise. As an Entry Level Insurance Sales Representative, you'll have the opportunity to...
-
Client Service Representative II
2 weeks ago
Reno, United States Capital Insurance Group Full timeWhy CIG? At Capital Insurance Group we offer our employees more than just a job. We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your career! CIG was founded in 1898 by a group of earnest farmers in need of protection and today, we are the leading West Coast Property & Casualty insurer. CIG...
-
Patient Billing Representative
1 week ago
Reno, United States Reno Orthopedic Center Full timeJob DescriptionJob DescriptionDo you have a passion for helping others? Love solving problems and puzzles? Have an eye for detail and numbers? Join ROC as a Patient Billing Representative! This position will remain posted until filled.You would talk to patients about the bill for their treatment at ROC. We want our patients to get back to moving the way they...
-
Patient Billing Representative
1 week ago
Reno, Nevada, United States Reno Orthopedic Center Full timeDo you have a passion for helping others? Love solving problems and puzzles? Have an eye for detail and numbers? Join ROC as a Patient Billing Representative! This position will remain posted until filled. You would talk to patients about the bill for their treatment at ROC. We want our patients to get back to moving the way they want to be moving and...
-
Insurance Defense Litigation Attorney
4 weeks ago
Reno, Nevada, United States Quintairos, Prieto, Wood & Boyer, P.A. Full timeOverview: Quintairos, Prieto, Wood & Boyer, P.A. - the nation’s largest minority and women owned law firm - has an immediate opportunity for an Insurance Defense Litigator to join the firm. Who We Need: We are seeking an Insurance Defense Litigator with 3 years or more of experience to work in our Reno, Nevada office on a full-time basis...
-
Patient Access Representative
3 weeks ago
Reno, United States Clerical Administrative Support Full timePosition Purpose This position is responsible to perform all registration, scheduling, order entry and reception functions and may float to various admitting site within the health system. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial,...
-
Field Sales Representative
11 hours ago
Reno, United States Vivid Commerce Full timeCompany DescriptionVivid Commerce is a provider of comprehensive payment and commerce solutions. The company focuses on accessibility and inclusivity, empowering businesses to effortlessly participate in the economy. Vivid Commerce offers a full-stack platform with a range of solutions, including payment processing, point-of-sale systems, and e-commerce...
-
Acquisitions Sales Representative
3 weeks ago
Reno, United States Kendall Hunt Publishing Full timeJob DescriptionJob DescriptionReady to leave your mark on Higher Education? Do you thrive in building relationships and exceeding goals? Kendall Hunt Publishing is seeking a talented Acquisitions Sales Representative to join our team with strong communication and sales skills to cultivate lasting relationships with college professors. We are looking for...
-
Patient Services Representative
1 day ago
Reno, United States Skin Cancer and Dermatology Institute Full timePosition Summary: This position under general supervision, operates as part of the care team performing a variety of functions such as greeting patients, patient registration, insurance coverage and verification, scheduling and telephone management. Essential Duties and Responsibilities: The following duties and responsibilities generally reflect the...
-
Reno, United States Reno Behavioral Healthcare Hospital Full timeThis position is responsible for verifying insurance coverage and estimating patient responsibility for patient's being admitted for inpatient or outpatient services and to provide the A&R staff with the most accurate data based on the information provided. Duties include preparing billing packets, interviewing patients to verify demographic and insurance...
-
Patient Services Representative
2 days ago
Reno, United States Skin Cancer and Dermatology Institute Full timePosition Summary: This position under general supervision, operates as part of the care team performinga variety of functions such as greeting patients, patient registration, insurance coverage and verification,scheduling and telephone management.Essential Duties and Responsibilities:The following duties and responsibilities generally reflect the...
-
Patient Services Representative
1 day ago
Reno, United States Skin Cancer and Dermatology Institute Full timeJob DescriptionPosition Summary: This position under general supervision, operates as part of the care team performinga variety of functions such as greeting patients, patient registration, insurance coverage and verification,scheduling and telephone management.Essential Duties and Responsibilities:The following duties and responsibilities generally reflect...
-
Patient Services Representative
2 days ago
Reno, United States Skin Cancer and Dermatology Institute Full timePosition Summary: This position under general supervision, operates as part of the care team performinga variety of functions such as greeting patients, patient registration, insurance coverage and verification,scheduling and telephone management.Essential Duties and Responsibilities:The following duties and responsibilities generally reflect the...
-
Customer Account Representative
1 week ago
Reno, United States ASSA ABLOY Full timeCareer Opportunities: Customer Account Representative (27358) Requisition ID 27358 - Posted - Interlock USA, Inc - ASSA ABLOY Fenestration - Reno, NV - Customer Service & Contact Center Operations - Posting Country (1) - Yes - Associate - No Travel Required Job Description Print Preview Customer Account Representative Position Summary: ASSA ABLOY...
-
Inside Sales Representative
1 week ago
Reno, United States Carter Lumber Full timeJob DescriptionJob DescriptionDo you have a positive attitude? Are you a people-person? Do you enjoy sales? This Inside Sales Rep (ISR) opportunity is for you! You will have the chance to become the face of the store and the person customers rely on when they stop in. Friendly customer service is key. Our customers can buy a 2x4 anywhere – they come...
-
Risk Manager
6 days ago
Reno, United States City of Reno Full timeClassification Description Summary Under administrative direction, directs, manages, supervises, and coordinates the activities and operations of the Risk Management Program including loss analysis and prevention, insurance, worker's compensation, and safety programs and functions; coordinates assigned activities with other divisions, departments and outside...
-
Customer Account Representative
3 days ago
Reno, United States ASSA ABLOY Full timeCareer Opportunities: Customer Account Representative (27358) Requisition ID 27358 - Posted - Interlock USA, Inc - ASSA ABLOY Fenestration - Reno, NV - Customer Service & Contact Center Operations - Posting Country (1) - Yes - Associate - No Travel Required ? Job Description Print Preview Customer Account Representative Position Summary: ASSA ABLOY...
-
Reno, United States Reno Behavioral Healthcare Hospital Full timeJob DescriptionJob DescriptionThis position is responsible for verifying insurance coverage and estimating patient responsibility for patient’s being admitted for inpatient or outpatient services and to provide the A&R staff with the most accurate data based on the information provided. Duties include preparing billing packets, interviewing patients to...
-
Assistant United States Attorney
2 weeks ago
Reno, Nevada, United States Department Of Justice Full timeSummaryThis position is located in Reno, Nevada.For more information regarding the district, please visit: Duties Assistant U.S. Attorneys in the Civil Division represent the United States in a broad range of cases involving significant and complex issues including tort actions under the Federal Tort Claims Act (medical malpractice, premises liability,...