Lead Billing Follow Up Associate at Adventist Health

Job 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.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.