Insurance and Claims Representative

Position: — Insurance and Claims Representative
# Insurance and Claims Representative

Requisition :
185996

Department:
100620 Hospital Billing Services

Shift:
Day Category:
Clerical & Administrative Support### Paid Time Off### 401(k) Company Match### Flexible Work Environment 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.
** For Providers:
** Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.

Schedule:

Full Time - Eligible for Benefits||  || The Insurance and Claims Representative 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. | || 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 | ||

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. | Position Purpose | |## 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.### Education Assistance
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