A Billing Specialist maintains current understanding of billing and coding guidelines that affects the organization practices to ensure claims are consistently billed properly. Responsible for reviewing and resolving claim edits in the billing scrubber for all government and non-government payers; submits claims withing 48 – 72 hrs of creation date; responsible for coordinating rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas.
May serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits. Conducts all duties in a professional and timely manner.
Must deliver compassion and respect at all encounters while assisting patients and callers with billing questions and insurance coverage determination on the phone, via email or in person. Apply excellent communication and teamwork skills to maintain successful working relationships with team members and various groups throughout the organization. Listen effectively.
Build appropriate rapport. Use diplomacy and tact. Document all calls, actions in follow-up system.
Confirm/update guarantor, insurance and demographics. Demonstrate ingenuity, self-reliance and resourcefulness. Able to take needed action without direct instructions.
Demonstrates ability to deescalate matters - in person or over the phone - providing customers with options to problem solve. Ensure to follow-up timely and embody the USC spirit in all transactions. Partner with patients on Financial assistance and any and all governmental or private payer systems.
Establish payment arrangements and settlements within hospital polices. Manage individual scope of work including assigned tasks and activities in a timely manner and within budget. Identify opportunities for improvement and, when appropriate, develop and implement effective solutions.
Provide quality service and support to patients and/or client groups. Demonstrate a positive image and perform responsibilities in a professional manner. Ensure that all information and services provided are accurate; meet the customer’s needs, in a timely manner.
Qualifications Req High school or equivalent Req 2 years Minimum two (2) years’ experience in medical insurance billing required (preferably in facility billing) 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) Pref Certified Coding Specialist - CCS (AHIMA) Billing and Coding Certificate preferred Keck Hospital of USC, a 343-bed acute care hospital, provides exceptional and innovative care for complex medical and surgical conditions across a wide range of specialties.
The hospital’s world-renowned physicians deliver compassionate, customized, patient-centered care and treat the most acutely ill patients with highly innovative techniques and treatment plans. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere.
Every day at Keck Hospital, physicians, nurses and staff go beyond the science of exceptional medicine to bring patients breakthroughs in the art of caring. Join this world-class team providing highly specialized care, up-to-the-minute research, and innovative clinical trials. The hourly rate range for this position is $26.00 - $41.28.
When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations 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.
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