UC San Diego Jobs Site

Column Content Left

#103511 Credit Reconciliation and Recovery Specialist

Initial Review Date: Fri 2/14/2020

This position will remain open until filled.

UCSD Layoff from Career Appointment: Apply by 01/21/2020 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 01/31/2020. Eligible Special Selection clients should contact their Disability Counselor for assistance.

DESCRIPTION

The Credit Reconciliation and Recovery Specialist is responsible for the full range of reconciliation and resolution of credit balances as well as revenue recovery duties to ensure the providers are being reimbursed properly according to the payer agreements for professional fee billing services. The Specialist is responsible to timely and accurately work assigned areas of responsibly and work queues, taking appropriate actions to resolve credit balances, special handling accounts, and accounts that have not been paid according to contract.

MINIMUM QUALIFICATIONS

  • High School diploma; or equivalent combination of education and experience.

  • Minimum of three (3) years recent medical billing and collection experience.

  • Extensive knowledge in medical billing and government claims, appeals, and contractual payment plans.

  • Thorough understanding of ICD-10, CPT, HCPCS, RVS coding and pricing, and fee schedules.

  • Knowledge in self-pay collections, third party carrier guidelines; commercial and government contracts including HMO, PPO, Medicare, Medi-Cal, CHAMPUS-TRICARE, CMS, GHPP, and CCS.

  • Extensive experience and knowledge of processes related to credit balance resolution and under payment appeals received incorrectly from health plan.

  • Thorough knowledge of laws and regulations impacting medical billing and credit balance resolution.

  • Proficiency with Microsoft Office products such as Excel and Word.

PREFERRED QUALIFICATIONS

  • A Bachelor's Degree; or equivalent combination of education and experience.
  • Epic Resolute Experience.
  • Five plus (5+) years experience working credit balances from a variety of health plans and funding sources including Government, HMO, PPO, FFS, transplant, etc.
  • Under payment identification and follow up experience.

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.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, and several outpatient clinics. UC San Diego Medical Center in Hillcrest is a designated Level I Trauma Center and has the only Burn Center in the county. We invite you to join our dynamic team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego Health Sys
Payroll Title:
BLANK AST 3
Department:
FACULTY PRACTICE REVENUE CYCLE
Salary Range
Commensurate with Experience
Worksite:
Greenwich Drive
Appointment Type:
Career
Appointment Percent:
100%
Union:
CX Contract
Total Openings:
1
Work Schedule:
Days, 8 hrs/day, Monday-Friday

 

As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.