Patient Biller III at University of California - Los Angeles Medical Centers
Posted in Other 30+ days ago.
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Type: Full Time
Location: Los Angeles, California
The Patient Biller is responsible for accurately processing inpatient and outpatient claims to third party payers, following all mandated billing guidelines. He/she is responsible for ensuring Timely Filing guidelines are met. Provide quality control checks on paper claims; process tracers, denials and related correspondence; initiate appeals; draft, compose, and submit appeal letters specific to coding issues consistent with the most updated American Medical Association Current Procedural Terminology. The Biller must have the ability to perform all required duties within the patient accounting systems. The Biller may serve as a primary source for Customer Service assistance and ensuring customer satisfaction. He/she must demonstrate strong interpersonal skills in order to address and resolve patients' concerns. The Customer Service Patient Biller will handle a high volume of incoming customer service calls in a call-center environment. This position requires a general knowledge of overall Business Office functions. He/she must demonstrate a positive demeanor, good verbal and written communication skills, and must be professional in both appearance and approach. Skilled in the usage of all Microsoft and other programs as defined by the Faculty Practice Group, Physicians' Billing Office Management Staff.
Must have extensive knowledge and experience in Billing and Collections, preferably in surgical divisions; must know the difference between the Financial Classes such as PPO, HMO, Medicare, Medicare and Medi-Cal Assigned, Indemnity Plans; strong interpersonal, writing and communication skills; knowledge of interpreting an explanation of benefits (EOB) and a remittance advice (RA); must be computer literate and familiar with Excel and Word; possesses the ability to analyze an account and knowledge of next steps for resolution; knowledge of types of claims submission processes such as paper claim vs electronic submission; strong knowledge with CPT, modifiers and ICD10 and reading a claim for accuracy. In addition, must pass the Billing Assessment provided by the department.