UC San Diego Health is seeking a Physician Biller to join the Faculty Practice Revenue Cycle team. This hybrid role combines onsite work at Greenwich Drive in San Diego, CA with remote work.
The Physician Biller is responsible for the full range of billing duties within the revenue cycle, from claim generation to final payment disposition. The role includes monitoring and prioritizing assigned billing work, resolving claim edits, attaching supporting records, and handling actions needed to resolve open accounts receivable in accordance with departmental standards and performance metrics.
The department supports UC San Diego Health's mission to deliver outstanding patient care through a fast-paced, patient-focused, and collaborative environment.
Required Qualifications
- 3 years of relevant experience in medical claims billing, denial mitigation, and appeals
- 1 year of recent experience processing and resolving claims in a medical billing environment
- Knowledge of medical insurance billing processes, billing documents, claim forms, HIPAA, PHI, and state/federal billing and appeals rules
- Knowledge of medical terminology and coding principles (CPT, HCPCS, ICD-10, modifiers)
- Ability to read and understand insurance EOBs, correspondence, and payer communications
- Strong customer service, organization, and communication skills
- Ability to work independently and collaboratively
- Proficiency with MS Office products
- Ability to type at least 25 WPM
- Prior Epic experience with Resolute Professional Billing
Preferred Qualifications
- Some college coursework or an associate degree
- Billing certificate
- 3 years of recent experience processing and resolving claims in a medical billing environment
- Experience with CMS-1500 claim forms
- Ability to review medical records to support medical necessity
- Understanding of payer-specific information gathering and workload prioritization
- Experience verifying patient coverage and insurance via payer portal, Epic, or phone
- Authorizations and referrals experience
Location
San Diego, California, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$64,812 - $85,504
Remote work allowed
Yes
Posted
2 weeks ago