Southern California Permanente Medical Group (Kaiser Permanente)
Downey, California
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We are seeking a Patient Biller 3 to join our team and support accurate and timely processing of inpatient and outpatient claims. This role requires expertise in billing guidelines, customer service, and appeals processes, as well as strong interpersonal and technical skills.
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.
Salary Range: $29.04 - $38.29/Hourly
Qualifications
We’re seeking detail-oriented, self-directed professional with:
Minimum two years of recent medical billing experience in physicians’ office or clinic with Medi-Cal, Medicare, Managed Care, and PPO insurances - Required
Detailed knowledge of medical terminology and its applications
Skill in reading correspondence, charged documents, EOB’s and all other insurance forms
Knowledge of on-line registration procedures including payor data and financial classes
Frequent use of computer, fax, copier, printer, calculator, telephone, other general office appliances
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.