Patient Biller 3
UCLA HealthAbout the role
General Information
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Primary Duties and Responsibilities
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The patient biller position is critical to ensure the timely and accurate processing of medical billing and insurance claims, which directly impacts the organization's revenue cycle management. Filling this role is essential to maintain efficient billing operations, reduce claims denials, and ensure compliance with healthcare regulations. Without a dedicated patient biller, there is a risk of delayed payments, increased errors, and potential revenue loss, which could negatively affect the financial stability and operational efficiency of the practice.
In this role, you will:
- Accurately process inpatient and outpatient claims to third-party payers, adhering to all mandated billing guidelines.
- Ensure compliance with Timely Filing guidelines and maintain quality control for paper claims.
- Handle tracers, denials, and related correspondence, including initiating appeals and drafting appeal letters addressing coding issues.
- Utilize patient accounting systems to perform all required billing and account-related tasks.
- Provide exceptional customer service, addressing and resolving patient concerns in a professional manner.
- Manage a high volume of incoming customer service calls in a call-center environment.
- Support business office functions with general knowledge and expertise.
- Demonstrate proficiency in Microsoft Office and other programs as required by management.
Job Qualifications
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- Required - Minimum two years of recent medical billing experience in physicians’ office or clinic with Medi-Cal, Medicare, Managed Care, and PPO insurances
- Detailed knowledge of medical terminology and its applications
- Skill in reading correspondence, charged documents, EOB’s and a
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