SUMMARY: This position is accountable for analyzing and implementing operational changes to improve collections and prevent or minimize future payer denials. Accountable to compile data from multiple systems for various meetings with payers and internal departments to improve insurance collections. Serves to provide consult and education to all of Revenue Cycle to assist in improving payer collections. Assists Patient Accounting Team and organization in maintaining high standards of revenue integrity through providing appropriate claim information and receiving appropriate payments for services.
REQUIREMENTS; This position requires a High School Diploma or GED as well as minimum two (2) years experience in either obtaining medical insurance/government authorization or medical insurance/government billing. Registration experience in physician practice, clinic/hospital care setting is preferred.
POSITION DETAILS: Full time 80 hours per pay period.
Valley Children’s Healthcare – one of the largest pediatric healthcare networks in the nation – provides Central California’s only high-quality, comprehensive care exclusively for children, from before birth to young adulthood. Our independent, nonprofit network offers highly specialized medical and surgical services to treat conditions ranging from common to the most unusual and complex at our 356-bed children’s hospital as well as through partner hospitals, specialty care centers, satellite practices and primary care services. Our family-centered, pediatric services extend from a leading pediatric cancer and blood diseases center on the West Coast, and our pediatric heart center known for its expertise and pioneering treatments, to our Level IV neonatal intensive care unit (NICU), the highest level referral center between Los Angeles and the Bay Area.
Valley Children’s consistently ranks at the top of our peer group for quality patient outcomes, patient satisfaction and nursing excellence. Recognized as a Magnet® designated facility since 2004 and granted the gold-level Beacon Award for Excellence™ in critical care, Valley Chil...dren’s neonatal and pediatric intensive care units achieve some of the lowest mortality rates in the country while treating some of the sickest kids.
In affiliation with Stanford University School of Medicine, Valley Children’s Pediatric Residency and fellowship programs provide first-class training for the next generation of pediatricians and pediatric surgical and medical specialists. With more than 550 physicians and 3,400 staff, Valley Children’s partners with other providers and organizations throughout our 12-county service area to support delivering the best care to kids closer to home.