Hospital Patient Biller - Remote - 128963
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
About the position
UC San Diego Health's Revenue Cycle department plays a crucial role in supporting the organization's mission to deliver outstanding patient care and create a healthier world, one life at a time. The department is characterized by a diverse, patient-focused, and high-performing team that is committed to quality, collaboration, and continuous improvement. This environment enables the team to deliver the maximum standard of care to patients while offering challenging career opportunities in a fast-paced and innovative setting. The department values individuals who demonstrate a deep passion for problem-solving and customer service, making it an ideal place for those looking to make a significant impact in healthcare billing and collections. The Patient Biller III position is responsible for managing the full range of insurance and self-pay accounts, as well as department credit balances. This role involves responding to billing inquiries from patients, insurance companies, and various departments. The Patient Biller III must identify and resolve issues related to account adjustments, re-billing insurance, and collecting payments from patients as necessary. A comprehensive understanding of medical insurance, as well as State and Federal rules and regulations related to hospital billing and insurance claims, is essential for success in this role. Candidates must possess extensive knowledge in insurance claims appeals and a solid understanding of coding principles, including ICD9, CPT, and HCPCS. Familiarity with self-pay collections and mandated charity laws is also required. The role demands knowledge of medical/surgical terminology, accounting principles, cash handling, and various billing documents and claim forms. The Patient Biller III is expected to work with system-generated claims, edits, and attachments, including records and operative reports, while adhering to job standards at an expert level.
Responsibilities
• Manage the full range of insurance and self-pay accounts and department credit balances.
,
• Respond to billing inquiries from patients, insurance companies, and departments.
,
• Identify and resolve issues regarding account adjustments, re-billing insurance, and collecting from patients.
,
• Work with system-generated claims, edits, and attachments, including records and operative reports.
,
• Ensure compliance with State and Federal rules and regulations related to hospital billing and insurance claims.
,
• Maintain extensive knowledge of medical insurance and coding principles.
Requirements
• Three (3) years of recent acute care hospital billing and collection experience.
,
• Knowledge of State and Federal rules and regulations related to billing insurance claims.
,
• Demonstrated knowledge in self-pay collections.
,
• Thorough knowledge of UB04 and revenue codes as it pertains to billing.
,
• Extensive knowledge in insurance claims appeals and coding principles (ICD9, CPT, HCPCS).
,
• Knowledge of hospital payer contracts and reimbursement methodologies.
Nice-to-haves
• Epic Resolute experience.
,
• Previous hospital billing experience.
Benefits
• Medical insurance Apply tot his job
UC San Diego Health's Revenue Cycle department plays a crucial role in supporting the organization's mission to deliver outstanding patient care and create a healthier world, one life at a time. The department is characterized by a diverse, patient-focused, and high-performing team that is committed to quality, collaboration, and continuous improvement. This environment enables the team to deliver the maximum standard of care to patients while offering challenging career opportunities in a fast-paced and innovative setting. The department values individuals who demonstrate a deep passion for problem-solving and customer service, making it an ideal place for those looking to make a significant impact in healthcare billing and collections. The Patient Biller III position is responsible for managing the full range of insurance and self-pay accounts, as well as department credit balances. This role involves responding to billing inquiries from patients, insurance companies, and various departments. The Patient Biller III must identify and resolve issues related to account adjustments, re-billing insurance, and collecting payments from patients as necessary. A comprehensive understanding of medical insurance, as well as State and Federal rules and regulations related to hospital billing and insurance claims, is essential for success in this role. Candidates must possess extensive knowledge in insurance claims appeals and a solid understanding of coding principles, including ICD9, CPT, and HCPCS. Familiarity with self-pay collections and mandated charity laws is also required. The role demands knowledge of medical/surgical terminology, accounting principles, cash handling, and various billing documents and claim forms. The Patient Biller III is expected to work with system-generated claims, edits, and attachments, including records and operative reports, while adhering to job standards at an expert level.
Responsibilities
• Manage the full range of insurance and self-pay accounts and department credit balances.
,
• Respond to billing inquiries from patients, insurance companies, and departments.
,
• Identify and resolve issues regarding account adjustments, re-billing insurance, and collecting from patients.
,
• Work with system-generated claims, edits, and attachments, including records and operative reports.
,
• Ensure compliance with State and Federal rules and regulations related to hospital billing and insurance claims.
,
• Maintain extensive knowledge of medical insurance and coding principles.
Requirements
• Three (3) years of recent acute care hospital billing and collection experience.
,
• Knowledge of State and Federal rules and regulations related to billing insurance claims.
,
• Demonstrated knowledge in self-pay collections.
,
• Thorough knowledge of UB04 and revenue codes as it pertains to billing.
,
• Extensive knowledge in insurance claims appeals and coding principles (ICD9, CPT, HCPCS).
,
• Knowledge of hospital payer contracts and reimbursement methodologies.
Nice-to-haves
• Epic Resolute experience.
,
• Previous hospital billing experience.
Benefits
• Medical insurance Apply tot his job