Hospital Complex Account Specialist - Remote - 137484

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-dollar, 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?

1. Work with one of the nation's leading academic medical centers.
2. Remote flexibility and competitive benefits.
3. Opportunities for professional growth and certification support.
4. Be part of a team that impacts patient care at the highest level.

• 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.

• Certification in billing/coding (CPC, CPB, HB).

• Prior experience with transplant or complex case billing.

• Familiarity with payer agreements and bundled payment structures.

• 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.