Government Biller - Hybrid
The University of California, San Diego
About this position
Position 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. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. The Government Biller is responsible for the full range of billing duties within the revenue cycle—from claim generation to final payment resolution. This role requires advanced knowledge and independent judgment to ensure claims are submitted accurately, followed up on diligently, and resolved in accordance with payer-specific guidelines. The Biller III will monitor, prioritize, and complete all assigned billing tasks, including resolution of claim edits, submission of appeals, processing of rejections, handling of late charges, and working denials. A strong understanding of Medi-cal Managed Care contracts and accounts receivable (AR) follow-up processes is essential. This position also requires proficiency in using payer portals and electronic medical record (EMR) systems such as Epic
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 submission of hospital claims appeals and basic knowledge in medical terminology, ICD10, CPT, HCPCS coding principles. Knowledge in self -pay collections. Knowledge of Hospital payer contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's. Knowledge of UB04 and revenue codes as it pertains to hospital billing.
Job Location
Remote