Patient Rev Cycle Customer Service Professional I - 133413

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 Customer Service Professional I is responsible for performing patient revenue cycle and customer care activities in accordance with applicable Federal, State and local standards, guidelines and regulations, and in adherence to UCSD Health customer service standards. These responsibilities include but are not limited to customer service, patient billing and/or patient account balance collection activities associated with the hospital and professional revenue cycle.

• A minimum of four (4) years of related hospital or professional services billing and collection experience.

• Experience must include patient billing, collections and customer service. Experience working with hospital or professional services billing information systems.

• Proven understanding of the principles of customer service, customer communications, and/or problem resolution, relevant to healthcare settings.

• Thorough knowledge of government and non-government payer requirements, reimbursement rules, laws and regulations that govern billing/collection activities.

• Proven knowledge of financial assistance programs, and demonstrated ability to match customer needs to the appropriate programs and facilitate the application process.

• Demonstrated knowledge of medical terminology, CPT, ICD-10, HCPCS, and modifier codes, including impact on coverage and reimbursement.

• Strong proficiency in use of Microsoft Office applications (including Outlook, Skype/Lync, Excel, Word).

• Ability to apply principles and best practices of customer service and courtesy during all types of customer interactions, including in-person and telephone.

• Strong ability to apply problem analysis and resolution principles, and situation response guidelines, to appropriate take actions and resolve patient billing concerns with minimal direction.

• Solid ability to communicate and problem-solve issues professionally and effectively with individuals at all levels of the organization. Ability to effectively communicate and escalate unresolved patient billing concerns to management.

• College level course work in medical terminology, finance, or other relevant subject matter.

• Experience with both hospital and professional services revenue cycle.

• Experience in academic or other complex, multi-specialty setting.

• HFMA Certified Revenue Cycle Representative, Certified Professional Coder (CPC or CPC-H).

• Successful completion of all modules of the Customer Services Education Series is required within six (6) months of hire.

• 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.