Hospital Complex Account Specialist - Remote - 137484

Remote

#137484 Hospital Complex Account Specialist - Remote

Initial Review Date : Tue 12 / 2 / 2025

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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 11 / 20 / 2025 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants : Apply by 12 / 02 / 2025. Eligible Special Selection clients should contact their Disability Counselor for assistance.

Candidates hired into this position may have the ability to work remotely.

This position will remain open until filled.

DESCRIPTION

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?

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

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 : https : / / policy.ucop.edu / doc / 1001004 / Anti-Discrimination

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.

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