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Hospital Complex Account Specialist - Remote

$61.12k - $75.98k

UC San Diego

#137484 Hospital Complex Account Specialist - Remote UC San Diego Health is seeking a Hospital Complex Account Specialist to join our nationally recognized revenue cycle team. This is a unique opportunity to work on advanced and life‑saving treatments, including Solid Organ Transplant, Bone Marrow Transplant (BMT), and CAR T‑cell therapy. We offer remote flexibility, comprehensive training, and a collaborative environment where your expertise in hospital billing can grow into a highly specialized skill set. What You’ll Do: Manage end‑to‑end billing and collections for high‑value, complex accounts. Prepare and submit clean claims for hospital and professional services. Resolve denials, submit appeals, and secure payment across government and commercial payors. Collaborate with financial coordinators, authorization teams, and clinical staff to ensure accurate billing and compliance. Use Epic systems to review accounts, link episodes of care, and maintain accurate records. Why UC San Diego Health? Work with one of the nation’s leading academic medical centers. Remote flexibility and competitive benefits. Opportunities for professional growth and certification support. Be part of a team that impacts patient care at the highest level. Minimum Qualifications: Three (3+) years of hospital billing and collections experience (acute care preferred). Strong knowledge of insurance billing rules, UB‑04, revenue codes, and coding principles (ICD‑10, CPT, HCPCS). Experience with Epic or similar billing systems. Ability to analyze accounts, resolve issues, and communicate effectively with payors. Preferred Qualifications: Certification in billing/coding (CPC, CPB, HB). Prior experience with transplant or complex case billing. Familiarity with payer agreements and bundled payment structures. Special Conditions: 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. Pay Transparency Act: Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%). Hourly Equivalent: $29.27 - $36.39. The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Misconduct means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. UC Sexual Violence and Sexual Harassment Policy UC Anti-Discrimination Policy Abusive Conduct in the Workplace #J-18808-Ljbffr

Vacancy posted 4 days ago
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