Job Description :
POSITION: Patient Biller III DEPARTMENT: Hospital Billing - Government Payors START: ASAP. 6 month duration. LOCATION: 6200 Greenwich Drive, San Diego, CA 92122 MUST SEE STRONG HOSPITAL BILLING EXPERIENCE FOR A LARGE HOSPITAL SYSTEM ON RESUME. REQUIRED: HOSPITAL BILLING EXPERIENCE (minimum of 6 months) MUST HAVE GOVERNMENT PAYER EXPERIENCE Strong Medicare managed care follow up experience required. 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. Job standards are expected to be performed at the EXPERT level. MINIMUM QUALIFICATIONS: Must have a High School Diploma; or equivalent combination of education and experience. Six (6) months 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. PREFERRED QUALIFICATIONS: Epic Resolute experience.