Billing & Collections Representative I - PFS - RCSSD

6 days ago

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

JOB SUMMARY:

Under the direction of the Manager, Professional Billing & Coding, the Billing & Collections Rep I is responsible to review and process charges via our EMR system. They are responsible to process the paper charge tickets that are received for services provided at non-RCHSD locations. Using applicable reports, the incumbent ensures that all expected charges are received and entered from providers. This position verifies authorization when necessary for patient visits and procedures, ensuring it is correctly reflected on submission of the claim. They register new patients in the system, including patient demographics, verifying insurance, eligibility and claim information is accurate. Incumbent will verify appropriate use of Current Procedural Terminology (CPT) and International Classification of Diseases, 10th Revision (ICD-10) codes and modifiers for all charge sessions/encounters utilizing Rady specific warnings and CCI edits flagging the charges routing to the billing system. They are expected to make updates and or corrections as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor processing, They are to correct all errors or warning flags to ensure clean claim submission. This position is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to validate and accurately complete the claims identified with potential new payor plan coverage added to the patient's account. Assists with other related duties as assigned.

SKILLS REQUIRED:

  • Excellent verbal communication and active listening. Effective verbal communication is one of the most valuable skills in this role
  • Emotional intelligence
  • Ability to solve problems
  • Attention to detail
  • Technically savvy

MINIMUM QUALIFICATIONS:

H.S. Diploma,GED,or Equivalent

1 Year of Experience

Medical billing experience

A certificate of completion from a medical billing course can be substituted for 1 year of experience

PREFERRED QUALIFICATIONS:

3 Years of Experience

EPIC experience a plus

The current salary range for this position is $21.00 to $28.88

Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

  • Senior People Scientist, Scaled Solutions

    2 weeks ago

    San Francisco, California, United States Culture Amp Full time $135,000 - $155,000 per year

    Join us on our mission to make a better world of work. Culture Amp is the world's leading employee experience platform, revolutionizing how 25 million employees across more than 6,500 companies create a better world of work. Culture Amp empowers companies of all sizes and industries to transform employee engagement, drive performance management, and develop...

  • Senior People Scientist, Scaled Solutions

    5 days ago

    San Francisco, California, United States Culture Amp Full time

    Join us on our mission to make a better world of work.Culture Amp is the world's leading employee experience platform, revolutionizing how 25 million employees across more than 6,500 companies create a better world of work. Culture Amp empowers companies of all sizes and industries to transform employee engagement, drive performance management, and develop...

  • Director of Product Marketing, Solutions

    2 weeks ago

    San Francisco, California, United States Culture Amp Full time $210,000 - $235,000 per year

    Join us on our mission to make a better world of work.Culture Amp is the world's leading employee experience platform, revolutionizing how 25 million employees across more than 6,500 companies create a better world of work. Culture Amp empowers companies of all sizes and industries to transform employee engagement, drive performance management, and develop...

  • Senior Revenue Enablement Manager

    4 days ago

    San Francisco, California, United States Culture Amp Full time

    Join us on our mission to make a better world of work.Culture Amp is the world's leading employee experience platform, revolutionizing how 25 million employees across more than 6,500 companies create a better world of work. Culture Amp empowers companies of all sizes and industries to transform employee engagement, drive performance management, and develop...

  • Senior Marketing Program Manager

    1 week ago

    San Francisco, California, United States Culture Amp Full time $116,000 - $130,000 per year

    Join us on our mission to make a better world of work.Culture Amp is the world's leading employee experience platform, revolutionizing how 25 million employees across more than 6,500 companies create a better world of work. Culture Amp empowers companies of all sizes and industries to transform employee engagement, drive performance management, and develop...

  • Collections Specialist

    2 weeks ago

    San Diego, California, United States Noblesoft Technologies Full time $60,000 - $90,000 per year

    Role: Back Office Credit & Collections Agent.Location: San Diego, CA (Onsite)Essential Duties and ResponsibilitiesPerform skip tracing on locations and people that are delinquentAdvise customers of necessary actions and strategies for debt repayment.Working and reconciling with local agencies to ensure payment (Alberta works)Writing off customer...

  • Billing Operations Analyst

    4 days ago

    San Francisco, California, United States Notion Full time

    About Us:Notion helps you build beautiful tools for your life's work. In today's world of endless apps and tabs, Notion provides one place for teams to get everything done, seamlessly connecting docs, notes, projects, calendar, and email—with AI built in to find answers and automate work. Millions of users, from individuals to large organizations like...

  • Access Service Representative

    1 week ago

    San Diego, California, United States Sharp HealthCare Full time $25 - $34

    Hours:Shift Start Time:VariableShift End Time:VariableAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:As NeededOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$ $ $34.000The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay...

  • Client Account Representative

    2 days ago

    San Diego, California, United States Procopio, Cory, Hargreaves & Savitch LLP Full time

    We're hiring a Client Account Representative to join our Finance team in Downtown San Diego. If you're detail-oriented, highly organized, and enjoy working in a fast-paced environment where accuracy and collaboration are key, we'd love to meet you.What You'll DoYou'll play an essential role in supporting the firm's billing and client accounting processes...

  • Patient Service Representative

    1 week ago

    San Diego, California, United States Scripps Health Full time $40,000 - $80,000 per year

    This is a Full-Time position (80 hours per pay period) with a Monday - Friday, 8AM-5PM schedule located at our Scripps Clinic in Mission Valley. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.Why join Scripps Health?At Scripps Health, your ambition is empowered and your...