UCSD Layoff from Career Appointment: Apply by 11/12/2019 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 11/22/2019. Eligible Special Selection clients should contact their Disability Counselor for assistance.
The Payment Processing Specialist is primarily responsible for timely and proper posting and deposit reconciliation of all payments, denials and correspondence to accounts for funds received from all sources including insurance payors, 3rd party liability, HRA expense and patient payments. The specialist works with various internal departments and payors to resolve issues impacting application of payments or posting to proper accounts. Other related duties as assigned.
High school diploma, GED; or an equivalent combination of education and experience.
Minimum of three (3) years of related billing, coding, insurance experience in a complex healthcare environment.
Thorough 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, ICD10, CPT, HCPCS coding principles.
Demonstrated knowledge of self-pay collections.
Demonstrated knowledge of Medical Terminology.
Knowledge of self-pay collections, 3rd party carrier billing guidelines, commercial insurance and contracts, HMO, PPO, Medicare, Medi-Cal, Champus-TriCare, CMS, GHPP, and CCS billing.
Demonstrated Epic experience.
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.
UC San Diego is an academic powerhouse and economic engine, recognized as one of the top 8 public universities by U.S. News and World Report. Innovation is central to who we are and what we do. Here, students learn that knowledge isn't just acquired in the classroom - life is their laboratory. UC San Diego's rich academic portfolio includes six undergraduate colleges, five academic divisions and five graduate and professional schools. The university's award-winning scholars are experts at the forefront of their fields with an impressive track record for achieving scientific, medical and technological breakthroughs.