UC San Diego
Hospital Billing, Follow Up & Denials Rep - Hybrid - 136223
UC San Diego, San Diego, California, United States, 92189
Hospital Billing, Follow Up & Denials Rep - Hybrid - 136223
#136223 Hospital Billing, Follow Up & Denials Rep - Hybrid. Initial Review Date: Tue 10/7/2025.
UC San Diego values and welcomes people from all backgrounds. 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, we strongly encourage you to apply.
This position will work a hybrid schedule, onsite 3 days a week at Greenwich Drive, and remote. The position will remain open until filled.
About the Role UC San Diego Health’s Revenue Cycle department supports the mission to deliver outstanding patient care. The Hospital Billing & Follow Up Rep is responsible for full range of hospital insurance billing, collections, and credit balance account processing. The role responds to billing inquiries and identifies and resolves account adjustments, billing edits, and processes account credit balances and insurance refund requests.
Responsibilities Full range of hospital insurance billing, collections, and credit balance account processing; respond to billing inquiries from patients, insurance companies and internal team members; identify and resolve account adjustments; resolve billing edits; process account credit balances and insurance refund requests. Extensive knowledge of hospital medical insurance payers and plans; State and Federal rules and regulations; medical insurer appeal submission processes; medical terminology; ICD‑9, CPT, HCPCS coding principles; self‑pay collections; mandated charity laws; HIPAA regulations.
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.
Compensation Annual Full Pay Range: $61,116 - $75,982 (prorated if appointment percentage less than 100%). Hourly Equivalent: $29.27 - $36.39.
Vaccination Policy If employed, you must comply with our Policy on Vaccination Programs. Federal, state, or local public health directives may impose additional requirements.
EEO Statement 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. For the University of California’s Anti‑Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination.
#J-18808-Ljbffr
UC San Diego values and welcomes people from all backgrounds. 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, we strongly encourage you to apply.
This position will work a hybrid schedule, onsite 3 days a week at Greenwich Drive, and remote. The position will remain open until filled.
About the Role UC San Diego Health’s Revenue Cycle department supports the mission to deliver outstanding patient care. The Hospital Billing & Follow Up Rep is responsible for full range of hospital insurance billing, collections, and credit balance account processing. The role responds to billing inquiries and identifies and resolves account adjustments, billing edits, and processes account credit balances and insurance refund requests.
Responsibilities Full range of hospital insurance billing, collections, and credit balance account processing; respond to billing inquiries from patients, insurance companies and internal team members; identify and resolve account adjustments; resolve billing edits; process account credit balances and insurance refund requests. Extensive knowledge of hospital medical insurance payers and plans; State and Federal rules and regulations; medical insurer appeal submission processes; medical terminology; ICD‑9, CPT, HCPCS coding principles; self‑pay collections; mandated charity laws; HIPAA regulations.
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.
Compensation Annual Full Pay Range: $61,116 - $75,982 (prorated if appointment percentage less than 100%). Hourly Equivalent: $29.27 - $36.39.
Vaccination Policy If employed, you must comply with our Policy on Vaccination Programs. Federal, state, or local public health directives may impose additional requirements.
EEO Statement 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. For the University of California’s Anti‑Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination.
#J-18808-Ljbffr