Job Description

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 hour shifts, 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.

#118834 Credit Reconciliation and Recovery Specialist

Filing Deadline: Tue 10/4/2022

For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy

UCSD Layoff from Career Appointment: Apply by 09/23/22 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 09/27/22. Eligible Special Selection clients should contact their Disability Counselor for assistance.

This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive 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.

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, review and resolve refund request correspondence and accounts that have not been paid according to contract.

MINIMUM QUALIFICATIONS

  • 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.

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

PREFERRED QUALIFICATIONS

  • 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.


Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

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, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our 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.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

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.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online