Patient Biller III in San Diego, CA at Pride Health

Date Posted: 11/19/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    San Diego, CA
  • Experience:
    Not Specified
  • Date Posted:
    11/19/2019

Job Description

 Pride Health is looking for a Patient Biller to join our team in San Diego, CA! 

JOB DESCRIPTION: The Patient Biller III is responsible for the full range of insurance and self-pay accounts and department credit balances. 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.
  • 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.

MINIMUM QUALIFICATIONS:

  • Must have a High School Diploma; or equivalent combination of education and experience.
  • Three (3) years recent acute care hospital billing and collection experience. 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. 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.

If interested, please apply directly or send an email to april.branch@pride-health.com