Hospital Billing Specialist

4 weeks ago


San Diego, California, United States University of California Full time
Job Summary

UC San Diego Health's Revenue Cycle department is seeking a skilled Hospital Billing Specialist to support the organization's mission to deliver outstanding patient care. The ideal candidate will have extensive knowledge of hospital medical insurance payers and plans, as well as State and Federal rules and regulations related to billing hospital medical insurance claims.

Key Responsibilities

Respond to billing inquiries from patients, insurance companies, and internal department team members
Identify and resolve account adjustments, resolve billing edits, and process account credit balances and insurance refund requests
Maintain extensive knowledge of medical insurance claim appeal submission processes, medical terminology, ICD9, CPT, HCPCS, coding principles, self-pay collections, and mandated charity laws

Requirements

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

Preferred Qualifications

Epic Resolute experience
UB04 experience
Previous hospital billing experience
Previous hospital credit balance/refund processing experience

Working 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: $58,213 - $72,370 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $34.66

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