Hospital Billing, Follow Up & Denials Rep – Hybrid

Hospital Billing, Follow Up & Denials Rep – Hybrid - 137620

Join to apply for the Hospital Billing, Follow Up & Denials Rep – Hybrid role at UC San Diego Health
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Position Title:

PAT BILLER 3

Location:

Greenwich Drive, San Diego, CA

Work Schedule:

Days, 8‑hour shifts, Monday‑Friday; hybrid with 3 days onsite at Greenwich Drive.

Appointment Type:
Career

Appointment Percent:
100%

Union:
EX Contract

Total Openings: 1

Hiring Pay Scale: $29.27 - $36.39 / Hour

Pay Transparency Act:
Annual Full Pay Range: $61,116 - $75,982;
Hourly Equivalent: $29.27 - $36.39.

Description

UC San Diego Health’s Revenue Cycle department supports the organization’s mission to deliver outstanding patient care and to create a healthier world — one life at a time. The Hospital Billing & Follow Up Rep is responsible for the full range of hospital insurance billing, collections, and credit balance account processing. This role responds to billing inquiries from patients, insurance companies and internal department team members;

identifies and resolves account adjustments, resolves billing edits and processes account credit balances and insurance refund requests. Extensive knowledge of hospital medical insurance payers and plans, State and Federal rules and regulations related to billing hospital medical insurance claims. Extensive knowledge of medical insurance claim appeal submission processes, knowledge of medical terminology, ICD‑9, CPT, HCPCS coding principles, self‑pay collections and mandated charity laws.

Extensive knowledge of HIPAA regulations and medical record submissions to support hospital claim billing. Department productivity and quality standards are expected to be performed at the expert level.

Minimum Qualifications

• Three (3) years of recent acute care hospital billing and collection experience.
• 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, CPT, HCPCS coding principles.
• Knowledge in self‑pay collections.
• Knowledge of UB‑04 and revenue codes as it pertains to billing.

Preferred Qualifications

• Epic Resolute experience.
• UB‑04 experience.
• Previous hospital billing experience.
• Previous hospital credit balance/refund processing experience.

Special 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.

Employment at UC San Diego Health requires compliance with the University’s Policy on Vaccination Programs and other health and safety directives as applicable. Life‑support certifications (BLS, NRP, ACLS, etc.) must include hands‑on practice and in‑person skills assessment; online‑only certification is not acceptable.

UC San Diego Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.