Billing & Audit Manager - Patient Accounting - Full Time 8 Hour Days (Exempt) (Non-Union)
Keck Medicine of USCAbout the role
Billing Manager will be responsible for all aspects of Commercial and Governmental billing. Position must possess in-depth knowledge of National Uniform Billing Regulations. Responsibilities will include all internal holds, billing system holds and bridges, management of edits; all designed to generate a defect-free claim. Position will manage internal resources and chart auditors.
Essential Duties:
- Responsible for daily management of billing and system holds to effectively ensure accounts are accurately being sent to payers.
- Continually manage and review edits, bridges along with charge master impacts to ensure claims are flowing defect-free to the payers.
- Continually work with billing and software vendor to improve workflows, processes and controls for billing enhancements and efficiency.
- Develop, update and maintain billing policies and procedures for all facets of the billing organization.
- Continually work with department leaders on charge issues that generate rework and rebills. Work to eliminate rebills throughout the organization.
- Performs other duties as assigned.
Required Qualifications:
- Req High School or equivalent
- Req 3 years 3-5 years minimum hospital acute care billing management experience
- Req Excellent knowledge of CPT-4, ICD-9/ ICD-10 and Uniform Billing Standards.
- Req Excellent knowledge of all Medicare Billing regulations and requirements.
- Req Excellent contract knowledge required
Preferred Qualifications:
- Pref Bachelor’s Degree Advance Education Preferred.
Required Licenses/Certifications:
- Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu. Inquiries will be treated as confidential to the extent permitted by law.
- Notice of Non-discrimination
- Employment Equity
- Read USC’s Clery Act Annual Security Report
- USC is a smoke-free environment
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