Hospital Billing Specialist

4 weeks ago


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

We are seeking a highly skilled and experienced Hospital Billing & Follow Up Rep to join our team at UC San Diego Health's Revenue Cycle department. This role will be responsible for the full range of hospital insurance billing, collections, and credit balance account processing.

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.
  • Extensive knowledge of hospital medical insurance payers and plans, State and Federal rules/regulations related to billing hospital medical insurance claims.
  • Extensive knowledge of medical insurance claim appeal submission processes, knowledge of medical terminology, ICD9, CPT, HCPCS, coding principles, self-pay collections, and mandated charity laws.
  • Extensive knowledge of HIPPA regulations and medical record submissions to support hospital claim billing.
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.
  • Extensive knowledge in submission of hospital claims appeals and basic knowledge in medical terminology, ICD9, CPT, HCPCS coding principles.
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

The annual full pay range is $58,213 - $72,370 (will be prorated if the appointment percentage is less than 100%). The hourly equivalent is $34.66.



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