Denials Management Analyst – 119081

UCSD Layoff from Career Appointment: Apply by 10/12/22 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 10/17/22. Eligible Special Selection clients should contact their Disability Counselor for assistance.

This position will work either an onsite, remote or hybrid schedule (which includes a combination of working both onsite at Greenwich Drive and remote).

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.Advanced hospital billing and collections experience, perform hospital billing and follow-up on complex hospital claim denials, experience and skills with specialty hospital patient accounting related to clinical denials and other sub-specialty hospital services.

Advanced hospital billing and collections Support department denials management processes for facility claim billing and collections. Demonstrate advanced facility billing experience with complex claim denials, underpayments and overpayments. Perform advanced billing, collection and analysis tasks related to complex facility claim denials for all commercial and government insurance carriers, demonstrate high-level reading and comprehension skills interpreting medical insurance company claim correspondence and adjudications, participate in root-cause claim data analysis activities related to trended claim denials, train internal team members to perform denials management tasks on facility denied claims and provide recommendations on billing and collection processes to prevent facility claim denials, underpayments and overpayments.

• Seven (7) years of related experience, education/training, OR a Bachelor’s degree in related area plus three (3) years of related experience/training. Relate experience: hospital billing and collection experience such as clinical denials or reference to a denials management department.

• Thorough knowledge of medical terminology and coding.

• Demonstrate hospital Billing and follow up experience working in a large healthcare system.

• Experience handling facility medical necessity denials.

• 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.

Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community .

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html

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