• Billing & Audit Manager - Patient Accounting…

    University of Southern California (Los Angeles, CA)


    Billing Manager will be responsible for all aspects of Commercial and Governmental billing. Position must possess in-depth knowledge of National Uniform Billing Regulations. Responsibilities will include all internal holds, billing system holds and bridges, management of edits; all designed to generate a defect-free claim. Position will manage internal resources and chart auditors.

    Essential Duties:

    + Responsible for daily management of billing and system holds to effectively ensure accounts are accurately being sent to payers.

    + Continually manage and review edits, bridges along with charge master impacts to ensure claims are flowing defect-free to the payers.

    + Continually work with billing and software vendor to improve workflows, processes and controls for billing enhancements and efficiency.

    + Develop, update and maintain billing policies and procedures for all facets of the billing organization.

    + Continually work with department leaders on charge issues that generate rework and rebills. Work to eliminate rebills throughout the organization.

    + Performs other duties as assigned.

    Required Qualifications:

    + Req High School or equivalent

    + Req 3 years 3-5 years minimum hospital acute care billing management experience

    + Req Excellent knowledge of CPT-4, ICD-9/ ICD-10 and Uniform Billing Standards.

    + Req Excellent knowledge of all Medicare Billing regulations and requirements.

    + Req Excellent contract knowledge required

    Preferred Qualifications:

    + Pref Bachelor’s Degree Advance Education Preferred.

    Required Licenses/Certifications:

    + Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

     

    The annual base salary range for this position is $95,680.00 - $158,230.00. 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.