Description
UCLA HEALTH
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Description
As a Transplant Billing Representative, you will manage a
designated portfolio of inpatient and outpatient transplant accounts, ensuring
accurate claim preparation and timely reimbursement. Your primary
responsibilities include:
- Reviewing
and preparing inpatient and outpatient transplant claims based on payer
type and billing requirements - Submitting
claims to commercial, government, and self-pay payers in compliance with
billing regulations and timely filing guidelines - Editing
claims to ensure accurate coding, documentation, and payer-specific
requirements are met prior to submission - Reviewing
required documentation such as authorizations, medical records, and
transplant-related invoices to support claim accuracy - Managing
assigned transplant accounts, including mid-to-high dollar balances, and
responding to payer inquiries to support timely resolution
Salary Range: $26.79 – $38.05/hourly
Qualifications
We are seeking a detail-oriented individual with:
- High
school diploma or GED; Minimum of 3 years of related hospital billing or
collections experience, including at least 1 year in billing investigation - Associate’s
degree in healthcare administration, finance, or a related field,
preferred - Knowledge
of inpatient and outpatient hospital billing processes and claim
submission requirements - Ability
to interpret payer billing rules and basic contract terms - Working
knowledge of UB-04 claim forms, CPT codes, HCPCS codes, and hospital
billing data elements - Experience
using patient accounting or billing systems in a healthcare setting - Proficiency
in Microsoft Office, especially Excel and Word - Strong
organizational skills, attention to detail, and the ability to manage
multiple accounts while meeting productivity expectations