UCSD Layoff from Career Appointment: Apply by 01/14/2020 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 01/24/2020. Eligible Special Selection clients should contact their Disability Counselor for assistance.
The Patient Biller III is responsible for the full range of insurance and self-pay accounts and department credit balances. Responds to billing inquiries from patients, insurance companies and departments. Identifies and resolves issues regarding account adjustments, re-billing insurance, and/or collecting from patients as appropriate. Extensive 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, ICD-10 CPT, HCPCS, coding principles. Knowledge in self-pay collections and mandated charity laws. Knowledge of medical/surgical terminology. Knowledge of accounting and cash handling principles and various billing documents and claim forms. Responsible to work system generated claims, edits, attaches records, operative reports and all system reports. Job standards are expected to be performed at the EXPERT level.
Must have a High School Diploma; or equivalent combination of education and experience.
Three years recent acute care hospital billing and collection experience.
State and Federal rules and regulations related to billing Insurance Claims.
Demonstrated knowledge in self-pay collections.
Demonstrated knowledge of UB04 and revenue codes as it pertains to billing.
Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD9, ICD-10, CPT, HCPCS coding principles.
Knowledge of Hospital payer contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's.
Epic Resolute experience.
Previous hospital billing experience.
Experience with Government payers i.e. Medicare.
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.
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