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 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.

Essential Duties :

• 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.

Required Qualifications :

• Req High school or equivalent
• Req 2 years Minimum two (2) years’ experience in medical insurance billing required (preferably in facility billing)

Preferred Qualifications :

Pref Certified Coding Specialist - CCS (AHIMA) Billing and Coding Certificate preferred

Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within days of hire and maintained by renewal before expiration date.

Required within LA City only)

The hourly rate range for this position is $. - $.. 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, grant funding, as well as external market and organizational considerations.

Last updated : 2024-06-05