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Medi-Cal Biller

$55,723 - $79,144/Yr

University of California - Los Angeles, CA

posted 2 months ago

Full-time
Los Angeles, CA
Educational Services

About the position

The Medi-Cal Biller at UCLA Health is responsible for accurately processing inpatient and outpatient claims to various payers, including government and commercial entities. This role requires a strong understanding of billing guidelines, payer contracts, and the ability to perform tasks within patient accounting systems while adhering to timely filing guidelines.

Responsibilities

  • Accurately processing inpatient and outpatient claims to all payers, specifically government and commercial payers.
  • Interpreting payer contracts and processing contractual adjustments.
  • Knowledge of late charge process and primary, secondary, and tertiary billing.
  • Verifying benefits and eligibility for claims.
  • Applying all mandated billing guidelines and meeting timely filing guidelines.
  • Performing all required duties within the patient accounting systems.

Requirements

  • A minimum of 2 years' experience in hospital billing.
  • Knowledge of billing guidelines and reimbursement issues.
  • Familiarity with UB04 and 1500 billing forms.
  • Understanding of revenue codes, CPT, HCPCS, diagnosis, and procedure codes.
  • Proficiency in Microsoft Word and Microsoft Excel.
  • Skill in basic arithmetic operations with a calculator.
  • Ability to perform repetitive work according to set procedures.
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