Payment Processing Associate - Hybrid - 140682

University of California - San Diego Medical Centers; San Diego (CA); Hybrid; USD 65,000 - 81,000; Full time

Job summary

UC San Diego Health—Revenue Cycle is seeking a Payment Processing Associate to manage the full range of billing activities from claim generation to final payment posting.

The role requires precise posting of payments, resolving EOBs and denials, and collaboration with payers and departments to ensure timely and accurate patient account postings. Hybrid work with onsite in San Diego is expected.

Qualifications

• Three (3) years of relevant experience in Payment Posting and Reconciliation.
• Experience processing and resolving medical billing claims.
• Strong understanding of medical billing processes and HIPAA/PHI.

Responsibilities

• Post payments and reconcile batches and deposits according to department standards.
• Research and resolve EOBs and payer denials; document denial codes.
• Collaborate with internal/external partners to ensure accurate posting of insurance and self-pay payments.

Tools

Epic Resolute Professional Billing

Job description

This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote.

DESCRIPTION

UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.

The Payment Processing Associate is responsible for the full range of billing duties within the revenue cycle from claim generation to final payment disposition. The Payment Processing Associate will monitor, prioritize, and ensure assigned work for the remittances of payments, resolution of edits, researching EOB's and all actions required to resolve reconciliation of batches and deposits in timely manner and in accordance with current departmental standards and performance metrics. The Payment Processing Associate is responsible for executing manual payment posting workflows by accurately allocating financial amounts, applying contractual adjustments, and documenting denial reason codes. The Payment Processing Associate works closely with internal customers and external business partners to take any and all assigned actions required to ensure the accurate and timely posting of insurance and self-pay payments to patient accounts.

MINIMUM QUALIFICATIONS

• Three (3) years of relevant experience (Payment Posting and Reconciliation processes). One (1) year of recent experience specifically related to processing and resolving claims within a medical billing environment.
• Extensive knowledge of medical insurance billing/processes, billing documents, claim forms, HIPAA, PHI, and a thorough understanding of state and federal rules for billing and appealing medical claims.
• Knowledge of basic medical terminology, coding principles (CPT/HCPCS/ICD10/modifiers) and accounting/cash handling procedures.
• Ability to be able to read/understand insurance EOBs, correspondence and other payer communications in order to resolve outstanding bills.
• Customer focused mindset.
• Detail-oriented, organized, and possesses excellent written and verbal communication skills.
• Self-motivated and comfortable working independently as well collaborating as part of a team to accomplish common goals.

PREFERRED QUALIFICATIONS

• Three (3) years of recent experience specifically related to processing and resolving claims within a medical billing environment.
• Prior Epic experience with Resolute Professional Billing.
• Experience with Payment Posting processes and knowledge of insurance EOB's, adjustment codes, and denial codes.
• Understanding of 835 files and remittances.
• Payment research and contacting payers experience.
• Payer portal knowledge.

SPECIAL CONDITIONS

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act

Annual Full Pay Range: $64,812 - $80,576 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $31.04 - $38.59

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).