Patient Biller III in San Diego, CA at Pride Health

Date Posted: 6/19/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    San Diego, CA
  • Experience:
    Not Specified
  • Date Posted:
    6/19/2019

Job Description

Pride Health is seeking an experienced Patient Biller III to work with a top hospital in San Diego, CA. The Patient Biller III is responsible for the full range of insurance and self-pay accounts and department credit balances. Patient biller will respond to billing inquiries from patients, insurance companies and departments. In addition, the Patient Biller will identify and resolves issues regarding account adjustments, re-billing insurance, and/or collecting from patients as appropriate.

Key Skills:

  • 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 ICD9, 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.
  • 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 billing.

Requirements:

  • Education: High School Diploma or GED.
  • Experience: 3+ years of acute care hospital billing and collection
  • Certifications: Epic Resolute Hospital Billing certification (preferred)

Details:

  • Employment Type: 3-4 month contract
  • Schedule: M-F, 8 am – 4pm
  • Location: San Diego, CA
  • Pay rate: $19/hour