REVENUE CYCLE AUDITOR - Full Time - Day in San Diego, CA at Scripps Corporate Offices

Date Posted: 3/28/2018

Job Snapshot

Job Description

Responsible for a variety of billing and follow-up tasks relating to claims audit and subsequent processing; contacts responsible parties to resolve clinical issues preventing claims from being paid; investigates clinical records, patient account status, and resolves collection issues. Submits claims and follows up with payors to account resolution. Works problem accounts to payment with payors; investigates and corrects errors, follows-up on missing account information, and appealing unpaid and denied claims. Working directly with the insurance company, healthcare provider, liable third parties and patient to get a claim processed and paid. Supports continuous improvement of organization processes and personal knowledge and skills. Maintains and protects confidential information. Provides excellent customer service through cooperative working relationships. Meets productivity and quality standards.
This position is located at our 4S Ranch/Rancho Bernardo location.

Job Requirements

Required Education/Experience/Specialized Skills: One year of patient accounts experience in a healthcare setting. Strong working knowledge of managed care plans, insurance carriers, government Payors and payor requirements. Strong working knowledge of Medical Terminology and Medicare Compliance. Familiarity with HIPAA privacy requirements for patient information. Strong working knowledge of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes. Ability to multitask and stay organized. Good verbal and written communication skills. Detail oriented and ability to prioritize work. Requires a moderate level of interpersonal, problem solving, and analytic skills. Knowledgeable on insurance and reimbursement process. Ability to establish/maintain cooperative working relationships with staff, Medical Staff and providers.

Preferred Education/Experience/Specialized Skills/Certification: Three years of patient accounts experience in a healthcare setting.

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.