Patient Biller III - Patient Financial Services, UCSD Medical Center - San Diego, CA
Duties and Responsibilities
The Insurance and Patient Biller is responsible for the full range of third party and patient billing duties. Extensive knowledge of medical insurance and State and Federal rules and regulations related to billing Insurance Claims.
Duties and Responsibilities
The Insurance and Patient Biller is responsible for the full range of third party and patient billing duties. 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, 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.
- 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.
- Responds to high volume inquiries from patients regarding issues such as general billing questions, resolving patient disputes, explaining patient coverage, etc.
Qualifications
- Minimum three (3) years billing experience in a large, complex healthcare environment. 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. WPM: 30 10-Key by touch. Must work variable hours based on business needs. Have excellent communication skills with the ability to communicate clearly both verbally and in writing.
- Possess the personal characteristics of professionalism, credibility, commitment to high standards, innovation, discriminating judgment and accountability. Preferred: IDX, Siemens, CPT & ICD9 Medical Coding Knowledge preferred. MS Windows Applications: Excel and Word.
- University of California, San Diego (UCSD) Health System is the only university-based medical facility in San Diego, providing leading-edge care in patient care, biomedical research, education, and community service.
- We have two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Center, the Sulpizio Family Cardiovascular Center (opening in Spring 2011) several outpatient clinics.
- UCSD Medical Center, Hillcrest is also a designated Level I Trauma Center and has the only Burn Center in the county.
- U.S. News and World Report's 2010-2011 annual "America's Best Hospitals" report ranks UC San Diego Health System among the best in the nation in five specialty areas: Diabetes & Endocrinology, Geriatrics, Orthopedics, Psychiatry, and Pulmonary.
