UC San Diego Health
Hospital Biller & Follow Up Rep - Hybrid - 135546
UC San Diego Health, San Diego, California, United States, 92189
Hospital Biller & Follow Up Rep - Hybrid - 135546
The Hospital Biller & 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, state and federal rules/regulations related to billing hospital medical insurance claims, and the submission processes for medical insurance claim appeals is required. Knowledge of medical terminology, ICD9, CPT, HCPCS coding principles, self-pay collections and mandated charity laws is expected. Compliance with HIPAA regulations and proper medical record submissions to support hospital claim billing is required. Department productivity and quality standards are expected to be met at an expert level. Minimum Qualifications Three (3) years of recent acute care hospital billing and collection experience. State and Federal rules and regulations related to billing facility medical insurance claims. Demonstrated knowledge reviewing/processing hospital claim errors. Thorough knowledge of UB04 and revenue codes as it pertains to hospital billing. Extensive knowledge in submission of hospital claims appeals and basic knowledge in medical terminology, ICD9, CPT, HCPCS coding principles. Demonstrated knowledge of facility reimbursement contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG’s. Demonstrated knowledge reviewing/processing facility insurance refund requests and account credit balances. 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. Must be able to work overtime if required. Employment is subject to a criminal background check and pre-employment physical. Pay and Schedule Base pay range: $27.88/hr - $36.39/hr. Hiring Pay Scale: $27.88 - $34.66 / Hour. Work Schedule: Days, 8 hour shifts, Monday - Friday. Hybrid schedule with onsite three days a week at Greenwich Drive. Appointment Type: Career. Appointment Percent: 100%. Total Openings: 2. Additional Information UC San Diego values equity, diversity, and inclusion. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. This position will remain open until filled. The job posting title was updated as of 08/12/25. About UC San Diego Health UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. 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. Equal Employment Note For more information, please visit UC San Diego Principles of Community. UC San Diego is a smoke- and tobacco-free environment. UC San Diego Health maintains a drug-free environment; employees may be subject to drug screening.
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The Hospital Biller & 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, state and federal rules/regulations related to billing hospital medical insurance claims, and the submission processes for medical insurance claim appeals is required. Knowledge of medical terminology, ICD9, CPT, HCPCS coding principles, self-pay collections and mandated charity laws is expected. Compliance with HIPAA regulations and proper medical record submissions to support hospital claim billing is required. Department productivity and quality standards are expected to be met at an expert level. Minimum Qualifications Three (3) years of recent acute care hospital billing and collection experience. State and Federal rules and regulations related to billing facility medical insurance claims. Demonstrated knowledge reviewing/processing hospital claim errors. Thorough knowledge of UB04 and revenue codes as it pertains to hospital billing. Extensive knowledge in submission of hospital claims appeals and basic knowledge in medical terminology, ICD9, CPT, HCPCS coding principles. Demonstrated knowledge of facility reimbursement contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG’s. Demonstrated knowledge reviewing/processing facility insurance refund requests and account credit balances. 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. Must be able to work overtime if required. Employment is subject to a criminal background check and pre-employment physical. Pay and Schedule Base pay range: $27.88/hr - $36.39/hr. Hiring Pay Scale: $27.88 - $34.66 / Hour. Work Schedule: Days, 8 hour shifts, Monday - Friday. Hybrid schedule with onsite three days a week at Greenwich Drive. Appointment Type: Career. Appointment Percent: 100%. Total Openings: 2. Additional Information UC San Diego values equity, diversity, and inclusion. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. This position will remain open until filled. The job posting title was updated as of 08/12/25. About UC San Diego Health UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. 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. Equal Employment Note For more information, please visit UC San Diego Principles of Community. UC San Diego is a smoke- and tobacco-free environment. UC San Diego Health maintains a drug-free environment; employees may be subject to drug screening.
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