UC San Diego Health
Transplant Billing & Follow Up Rep - Hybrid
UC San Diego Health, San Diego, California, United States, 92189
Overview
UC San Diego Health is seeking a skilled and motivated Billing & Collections Representative to join our large-scale hospital billing operations team. This role focuses on Solid Organ Transplant, Bone Marrow Transplant (BMT), and CAR T billing and follow-up, one of the most specialized and complex areas of hospital revenue cycle. The successful candidate will demonstrate strong billing and collections expertise, attention to detail, and the ability to work claims from start to finish across government and commercial payors. Base pay range $29.27/hr - $36.39/hr This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. Onsite 3 days a week. This position will remain open until filled. Responsibilities
Process Hospital Billing (HB) and Professional Billing (PB) claims for Solid Organ, BMT, and CAR T services across pre-, intra-, and post-transplant phases. Prepare and submit clean claims with all required documentation, ensuring accurate account linking and transplant bundle billing. Conduct account follow-up and collections: monitor outstanding balances, resolve denials, submit appeals, and escalate unresolved claims as needed. Review account trial balances (ATBs), hospital account records (HARs), and authorizations in Epic to ensure billing compliance. Collaborate with internal teams including Authorization, Financial Coordinators, and Revenue Integrity to resolve issues and secure payment. Maintain compliance with payer rules, state/federal regulations, and UC San Diego Health policies. Qualifications
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-10, CPT, HCPCS coding principles. Knowledge in self-pay collections. Knowledge of UB04 and revenue codes as it pertains to billing. PREFERRED QUALIFICATIONS Strong working knowledge of Epic billing systems (HAR, ATB, Auth/Cert). Experience with government and commercial payors. Proven ability to resolve complex denials and secure payments on high-dollar accounts. Prior transplant billing experience (Solid Organ, BMT, CAR T) in an academic medical center or large hospital system. Knowledge of transplant billing phases. Experience managing single-bundle and two-part bundle claims. Familiarity with payer transplant networks and agreements across government and commercial payors. Ability to review and prepare Billing Summaries, Itemized Statements, Organ Acquisition and Perfusion Invoices, and ensure proper inclusion/exclusion of services. Experience collaborating with Transplant Financial Coordinators (TFCs), Central Authorization Teams (CATs), and clinical staff to align financial clearance, authorizations, and claim submissions. Strong understanding of Epic billing functionality related to transplant (HAR, ATB, Auth/Cert, EOC linking). Demonstrated success in appeals and follow-up for high-dollar, complex transplant claims. Other
Seniority level : Not Applicable Employment type : Full-time Job function : Administrative and Finance Industries : Hospitals and Health Care
#J-18808-Ljbffr
UC San Diego Health is seeking a skilled and motivated Billing & Collections Representative to join our large-scale hospital billing operations team. This role focuses on Solid Organ Transplant, Bone Marrow Transplant (BMT), and CAR T billing and follow-up, one of the most specialized and complex areas of hospital revenue cycle. The successful candidate will demonstrate strong billing and collections expertise, attention to detail, and the ability to work claims from start to finish across government and commercial payors. Base pay range $29.27/hr - $36.39/hr This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. Onsite 3 days a week. This position will remain open until filled. Responsibilities
Process Hospital Billing (HB) and Professional Billing (PB) claims for Solid Organ, BMT, and CAR T services across pre-, intra-, and post-transplant phases. Prepare and submit clean claims with all required documentation, ensuring accurate account linking and transplant bundle billing. Conduct account follow-up and collections: monitor outstanding balances, resolve denials, submit appeals, and escalate unresolved claims as needed. Review account trial balances (ATBs), hospital account records (HARs), and authorizations in Epic to ensure billing compliance. Collaborate with internal teams including Authorization, Financial Coordinators, and Revenue Integrity to resolve issues and secure payment. Maintain compliance with payer rules, state/federal regulations, and UC San Diego Health policies. Qualifications
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-10, CPT, HCPCS coding principles. Knowledge in self-pay collections. Knowledge of UB04 and revenue codes as it pertains to billing. PREFERRED QUALIFICATIONS Strong working knowledge of Epic billing systems (HAR, ATB, Auth/Cert). Experience with government and commercial payors. Proven ability to resolve complex denials and secure payments on high-dollar accounts. Prior transplant billing experience (Solid Organ, BMT, CAR T) in an academic medical center or large hospital system. Knowledge of transplant billing phases. Experience managing single-bundle and two-part bundle claims. Familiarity with payer transplant networks and agreements across government and commercial payors. Ability to review and prepare Billing Summaries, Itemized Statements, Organ Acquisition and Perfusion Invoices, and ensure proper inclusion/exclusion of services. Experience collaborating with Transplant Financial Coordinators (TFCs), Central Authorization Teams (CATs), and clinical staff to align financial clearance, authorizations, and claim submissions. Strong understanding of Epic billing functionality related to transplant (HAR, ATB, Auth/Cert, EOC linking). Demonstrated success in appeals and follow-up for high-dollar, complex transplant claims. Other
Seniority level : Not Applicable Employment type : Full-time Job function : Administrative and Finance Industries : Hospitals and Health Care
#J-18808-Ljbffr