No experience
Employment Type:
Full time
Job Category:
Customer Service
Health Care & Medicine
Patient Biller III
(This job is no longer available)
UCLA Health | Los Angeles, CA
Grad Date

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Job Description

Job Duties
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.

Job Qualifications
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; must be computer literate and familiar with Microsoft Applications such as Word and Excel. In addition, must pass the Billing Assessment provided by the department.

About UCLA Health

For more than half a century, UCLA Health  has provided the best in healthcare and the latest in medical technology to thepeople of Los Angeles and throughout the world. Today we are one of the most comprehensive and advanced healthcare systems in existence. We are comprised of Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, Resnick Neuropsychiatric Hospital at UCLA, Mattel Children’s Hospital UCLA, and the UCLA Medical Group, with offices throughout the region.

Ronald Reagan UCLA Medical Center is consistently ranked by U.S.News & World Report as one of the top five hospitals in the nation and the best medical center in the western United States. The doctors, scientists and caregivers of UCLA are leaders in their fields. Every day, they perform pioneering work across an astounding range of disciplines, from organ transplantation and cardiac surgery to neurosurgery and cancer treatment. Year after year, our people have achieved medical breakthroughs and earned the highest industry honors. And we’re just getting started.

The dedicated professionals of UCLA Health are committed to healing humankind, one patient at a time, by improving health, alleviating suffering, and delivering acts of kindness on a daily basis.