Government Biller - Hybrid

Remote

#137556 Government Biller - Hybrid Initial Review Date: Mon 1/26/2026 Apply Now
UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.

UCSD Layoff from Career Appointment: Apply by 12/03/25 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 12/15/25. Eligible Special Selection clients should contact their Disability Counselor for assistance.

This position will work a remote OR hybrid schedule (depending on applicants location) which includes a combination of working both onsite at Greenwich Drive and remote. Onsite 3 days a week.

DESCRIPTION

UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.

The Government Biller is responsible for the full range of billing duties within the revenue cycle-from claim generation to final payment resolution. This role requires advanced knowledge and independent judgment to ensure claims are submitted accurately, followed up on diligently, and resolved in accordance with payer-specific guidelines. The Biller III will monitor, prioritize, and complete all assigned billing tasks, including resolution of claim edits, submission of appeals, processing of rejections, handling of late charges, and working denials. A strong understanding of Medi-cal Managed Care contracts and accounts receivable (AR) follow-up processes is essential. This position also requires proficiency in using payer portals and electronic medical record (EMR) systems such as Epic

MINIMUM QUALIFICATIONS

• Three (3) years of recent acute care hospital billing and collection experience.

• Knowledge of medical insurance and State and Federal rules and regulations related to billing Insurance Claims.

• Extensive knowledge in submission of hospital claims appeals and basic knowledge in medical terminology, ICD10, CPT, HCPCS coding principles.

• Knowledge in self -pay collections.

• Knowledge of Hospital payer contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's.

• Knowledge of UB04 and revenue codes as it pertains to hospital billing.

PREFERRED QUALIFICATIONS

• Some college coursework or an Associate Degree.

• Prior Epic experience with Resolute Professional Billing.

• Billing Certificate.

• Three (3) years of recent Medicare/Medicare Managed Care experience specifically related to processing and resolving claims within a medical billing environment.

• Three (3) or more years of experience with Medicare Advantage and Medicare Sr. plans.

• Familiar with reading medical records in order to submit records to support medical necessity based on diagnosis and services rendered.

• Clear understanding or know how to properly obtain the different types of payer information timely and how to prioritize workload based on the payer specific info.

• Capable and comfortable with verifying patient coverage/insurance verification and adjudication via a payer portal, Epic system or by phone.

• Ability to identify, analyze, and appeal denied claims with proper documentation.

• Understanding payer reimbursement rules and contract interpretation.

• Skilled in tracking unpaid claims, follow up with payors and ensuring timely resolution.

• Experience working and resolving front and back end edits.

• Hands on experience using Epic and payor portals for eligibility, claim status and appeal submissions.

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

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

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If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

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.

For the University of California's Anti-Discrimination Policy, please visit:

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.

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.

a. "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. For reference, below are UC's policies addressing some forms of misconduct:

• UC Sexual Violence and Sexual Harassment Policy
• UC Anti-Discrimination Policy
• Abusive Conduct in the Workplace

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