UC San Diego Health
Hospital Billing, Follow Up & Denials Rep – Hybrid - 136223
UC San Diego Health, San Diego, California, United States, 92189
Overview
Hospital Billing, Follow Up & Denials Rep – Hybrid - 136223 Join to apply for the Hospital Billing, Follow Up & Denials Rep – Hybrid - 136223 role at UC San Diego Health Salary and Schedule
Payroll Title
PAT BILLER 3 Department
MEDICAL CENTER BUSINESS OFFICE Appointment Type
Career Appointment Percent
100% Work Schedule
Days, 8 hour shifts, Monday - Friday Worksite
Greenwich Drive Responsibilities
The Hospital Billing & Follow Up Rep is responsible for the full range of hospital insurance billing, collections and credit balance account processing. This role responds to billing inquiries from patients, insurance companies and internal department team members; identifies and resolves account adjustments, resolves billing edits and processes account credit balances and insurance refund requests. Extensive knowledge of hospital medical insurance payers and plans. Knowledge of State and Federal rules/regulations related to billing hospital medical insurance claims. Knowledge of medical insurance claim appeal submission processes, knowledge of medical terminology, ICD-9, CPT, HCPCS coding principles, self-pay collections and mandated charity laws. Knowledge of HIPAA regulations and medical record submissions to support hospital claim billing. Department productivity and quality standards are expected to be performed at the expert level. Minimum Qualifications
Three (3) years of recent acute care hospital billing and collection experience. Knowledge of medical insurance and State and Federal rules and regulations related to billing Insurance Claims. Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD-9, CPT, HCPCS coding principles. Knowledge in self-pay collections. Knowledge of UB04 and revenue codes as it pertains to billing. Preferred Qualifications
Epic Resolute experience. UB04 experience. Previous hospital billing experience. Previous hospital credit balance/refund processing experience. Special Conditions
Must be able to work various hours and locations based on business needs. Employment is subject to a criminal background check and pre-employment physical. Pay Transparency
Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $29.27 - $36.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). Other Information
If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. We invite you to join our team! Equal Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Accounting/Auditing and Finance Industries: Hospitals and Health Care Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. UC San Diego Health maintains a smoke and tobacco free environment and a drug-free environment. See policy for vaccination and other requirements. EEO statements and related policies apply.
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Hospital Billing, Follow Up & Denials Rep – Hybrid - 136223 Join to apply for the Hospital Billing, Follow Up & Denials Rep – Hybrid - 136223 role at UC San Diego Health Salary and Schedule
Payroll Title
PAT BILLER 3 Department
MEDICAL CENTER BUSINESS OFFICE Appointment Type
Career Appointment Percent
100% Work Schedule
Days, 8 hour shifts, Monday - Friday Worksite
Greenwich Drive Responsibilities
The Hospital Billing & Follow Up Rep is responsible for the full range of hospital insurance billing, collections and credit balance account processing. This role responds to billing inquiries from patients, insurance companies and internal department team members; identifies and resolves account adjustments, resolves billing edits and processes account credit balances and insurance refund requests. Extensive knowledge of hospital medical insurance payers and plans. Knowledge of State and Federal rules/regulations related to billing hospital medical insurance claims. Knowledge of medical insurance claim appeal submission processes, knowledge of medical terminology, ICD-9, CPT, HCPCS coding principles, self-pay collections and mandated charity laws. Knowledge of HIPAA regulations and medical record submissions to support hospital claim billing. Department productivity and quality standards are expected to be performed at the expert level. Minimum Qualifications
Three (3) years of recent acute care hospital billing and collection experience. Knowledge of medical insurance and State and Federal rules and regulations related to billing Insurance Claims. Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD-9, CPT, HCPCS coding principles. Knowledge in self-pay collections. Knowledge of UB04 and revenue codes as it pertains to billing. Preferred Qualifications
Epic Resolute experience. UB04 experience. Previous hospital billing experience. Previous hospital credit balance/refund processing experience. Special Conditions
Must be able to work various hours and locations based on business needs. Employment is subject to a criminal background check and pre-employment physical. Pay Transparency
Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $29.27 - $36.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). Other Information
If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. We invite you to join our team! Equal Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Accounting/Auditing and Finance Industries: Hospitals and Health Care Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. UC San Diego Health maintains a smoke and tobacco free environment and a drug-free environment. See policy for vaccination and other requirements. EEO statements and related policies apply.
#J-18808-Ljbffr