Insurance and Claims Representative

  • Requisition ID: 171695
  • Department: 100620 Central Business Office
  • Schedule: Full Time - Eligible for Benefits
  • Shift: Day
  • Category: Clerical & Administrative Support

Position Purpose

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.

 

 

Benefits

Renown Health exists to make a genuine difference in the health and well-being of the people and communities we serve. And it is through your passion that this mission is made real every day. The relationship with employees is the foundation for success as we proceed with our strategic direction. We strive to build upon this solid partnership by offering a comprehensive and competitive benefits package that meets the diverse needs of employees and their family members.

With my CAREER Rewards there's peace of mind in knowing that Renown Health is also fighting for the most important things in your life - family, finances and future. Navigate options and make sure you are getting the most value from your Nursing career with us.

  • Icon- Edu Assistance@1x

    Education Assistance

  • Icon - PTO@1x

    Paid Time Off

  • Icon - 401@1x

    401(k) Company Match

  • Icon - Flexible Env@1x

    Flexibile Work Environment

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About Renown Health

Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.

Join Our Team Today!