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As a Transplant Billing Representative, you will manage a
designated portfolio of inpatient and outpatient transplant accounts, ensuring
accurate claim preparation and timely reimbursement. Your primary
responsibilities include:
Reviewing
and preparing inpatient and outpatient transplant claims based on payer
type and billing requirements
Submitting
claims to commercial, government, and self-pay payers in compliance with
billing regulations and timely filing guidelines
Editing
claims to ensure accurate coding, documentation, and payer-specific
requirements are met prior to submission
Reviewing
required documentation such as authorizations, medical records, and
transplant-related invoices to support claim accuracy
Managing
assigned transplant accounts, including mid-to-high dollar balances, and
responding to payer inquiries to support timely resolution
Salary Range: $26.79 - $38.05/hourly
Qualifications
We are seeking a detail-oriented individual with:
High
school diploma or GED; Minimum of 3 years of related hospital billing or
collections experience, including at least 1 year in billing investigation
Associate’s
degree in healthcare administration, finance, or a related field,
preferred
Knowledge
of inpatient and outpatient hospital billing processes and claim
submission requirements
Ability
to interpret payer billing rules and basic contract terms
Working
knowledge of UB-04 claim forms, CPT codes, HCPCS codes, and hospital
billing data elements
Experience
using patient accounting or billing systems in a healthcare setting
Proficiency
in Microsoft Office, especially Excel and Word
Strong
organizational skills, attention to detail, and the ability to manage
multiple accounts while meeting productivity expectations
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.