Patient Biller 3 - UC Davis Health System : Job Details

Ensure timely and accurate billing and processing of facility claims, to include edit resolution, patient demographic analysis and correction, authorization/referral review and claim attachments. Review and correction of claim edits, DNB's and Stop Bills from various locations including reports, dashboards and work queues. Follow-up on claims with Commercial and Government payors to ensure maximum reimbursement based on payor contracts and/or regulations. Apply By Date 10/24/2024 at 11:59pm Minimum Qualifications For full consideration applicants are encouraged to upload license and certification if required of the position. High School Diploma or GED equivalency. Previous billing experience in a health care environment. Billing and Collections experience. Experience analyzing and interpreting various payor contracts and government payer regulations to ensure compliance with the terms and conditions of the contract and/or regulations. High attention to details; Ability to bill clean Hospital claims while maintaining quality and productivity expectations. Ability to use computer technology effectively to perform all work functions as well as to navigate through the internet or other software (e.g. DDE) to obtain eligibility and/or make demographic updates as indicated. Independent decision-making skills to determine appropriate course of action in billing accounts. Ability to read and interpret information sufficient to understand memos, manuals and bulletins regarding complex billing and follow-up procedures. Mathematical skills to audit accounts and calculate expected reimbursement/underpayments Ability to multi-task, set priorities, work accurately and quickly under pressure in order to meet deadlines set by the department, government programs, or private insurance carriers. Ability to react with flexibility and patience and maintain efficiency and accuracy under sustained and immediate pressure created by heavy workload, frequent interruptions and multiple, sometimes competing, requests. Knowledge of Government and other third-party payer program requirements, billing codes, coding systems and medical terminology. Ability to interpret payments, correspondence and denials from insurance companies, agencies and other departments. Ability to compose and use spreadsheets to calculate complex reimbursement. Ability to establish a good rapport and professional working relationship with all departmental personnel, management and outside parties. Maintains appropriate interdepartmental communications. Demonstrates professionalism, tact, courtesy and diplomacy in dealing with personnel at all levels in and outside of the health system; utilizes effective listening and questioning techniques. Knowledge of the Epic billing and clinical modules in order to research and adjust accounts. Maintain confidentiality and adhere to the Code of Conduct and Principals of Community standards Knowledge of, and demonstrated skill with various spreadsheet and software applications including Microsoft Excel and Word, Clearinghouse, Contract Management and Patient Accounting Systems. Experience in health care receivables management is preferred, ideally in an academic teaching hospital environment, working with government and commercial payers and contracts. Ability to tactfully, clearly and effectively communicate and convey complex information by phone, in writing or in person and to effectively elicit and receive information from individuals, companies, agencies and other departments. Adaptability and flexibility to accommodate changes in policies, procedures and management. Adherence of UCD/UCDH methods, policies and procedures. Proficiency in common database, spreadsheets, and presentation software (e.g. MS Word, Excel, Outlook) Knowledge of Epic Preferred Qualifications Experience with Medicare CMS billing guidelines Experience in billing hospital facility claims Experience with Transplant billing Experience with using electronic medical records system. Key Responsibilities 30% - Billing/Rebilling Complex Accounts 25% - Auditing/Adjusting/Reconciliaition 20% - Research 15% - Denials/Appeal/Payor Requests 10% - Special Projects/Misc Department Overview Patient Financial Services (PFS) manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments as well as internal operational and functional reporting and support related to hospital/facility billing. PFS ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services rendered. PFS impacts processes to include charge capture, coding, insurance identification, data/charge entry, registration, authorizations, billing, payment posting, refund processing and collections. POSITION INFORMATION Salary or Pay Range: $ 27.52 - $34.21 Salary Frequency: Hourly Salary Grade: 101 UC Job Title: PAT BILLER 3 Number of Positions: 1 Appointment Type: Staff: Career Percentage of Time: 100 Shift Hours: Monday-Friday , 8 hour Location: UCDHAS Building (HSP165) Union Representation: EX-Patient Care Technical Benefits Eligible: Yes Hybrid/Remote/Onsite: This position is hybrid (mix of on-site and remote work) THIS IS NOT AN H1- B OPPORTUNITY Benefits Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page . If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: High quality and low-cost medical plans to choose from to fit your family's needs UC pays for Dental and Vision insurance premiums for you and your family Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement Access to free professional development courses and learning opportunities for personal and professional growth WorkLife and Wellness programs and resources On-site Employee Assistance Program including access to free mental health services Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff Physical Demands Standing - Occasional Up to 3 Hours Walking - Occasional Up to 3 Hours Sitting - Frequent 3 to 6 Hours Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours Bending/Stooping - Occasional Up to 3 Hours Squatting/Kneeling - Occasional Up to 3 Hours Twisting - Occasional Up to 3 Hours Reaching overhead - Occasional Up to 3 Hours Keyboard use/repetitive motion - Frequent 3 to 6 Hours Mental Demands Sustained attention and concentration - Frequent 3 to 6 Hours Complex problem solving/reasoning - Occasional Up to 3 Hours Ability to organize & prioritize - Frequent 3 to 6 Hours Communication skills - Frequent 3 to 6 Hours Numerical skills - Occasional Up to 3 Hours Constant Interaction - Frequent 3 to 6 Hours Customer/Patient Contact - Frequent 3 to 6 Hours Multiple Concurrent Tasks - Frequent 3 to 6 Hours Special Requirements This is a critical position, as defined by UC policy and local procedures, and as such, employment is contingent upon successful completion of background check(s), including but not limited to criminal record history background check(s) This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements Diversity, Equity, Inclusion and Belonging At UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don't just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds and you belong here. As you consider joining UC Davis, please explore our Principles of Community , our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected . The University of California, Davis is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. For the University of California's Affirmative Action Policy, please visit: For the University of California's Anti-Discrimination Policy, please visit: Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role Don't meet all the requirements? We still encourage you to apply YouBelongHere Apply for Job UC Davis Health Careers Sign In New User