Billing and Collections Specialist

4 weeks ago


San Diego, California, United States Rady Children's Hospital-San Diego Full time

Job Summary:

The Billing and Collections Representative I - PFS - RCSSD is a critical role that requires attention to detail, technical savvy, and excellent communication skills. Under the direction of the Supervisor of Professional Billing & Coding, the successful candidate will receive charge batches for verification and pre-coding, ensuring that all expected charges are received from providers.

Key Responsibilities:

  • Verify authorization for patient visits and ensure that numbers are present in the billing system.
  • Register new patients into the IS system, including demographics, insurance, and claim information.
  • Verify the use of CPT and ICD-10 codes and modifiers for all charge sessions/encounters.
  • Process daily claim edits for rejected claims processed through electronic claim vendors.
  • Provide professional customer service to patients by answering billing questions via telephone and written correspondence.
  • Pull medical records to submit with claims appeals and as required by payors.

Requirements:

  • High School Diploma, GED, or Equivalent.
  • 1 year of experience or certificate of completion from a medical billing course.
  • Preferred qualifications include 3 years of experience.

Benefits:

  • Medical, dental, vision, life insurance, and pet insurance.
  • A Retirement plan with company matching.
  • A Wellness program.
  • Tuition Assistance.
  • Employee Recognition Awards & Team Rady (an annual event honoring all employees).
  • Discounts on events and attractions around San Diego.


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