Patient Biller 3
UC Davis Health, Sacramento, CA, United States
Job Summary
Under supervision, incumbents typically audit accounts, prepare and complete third‑party claims for electronic or hard copy submission; identify and post payments to individual accounts; perform patient billing; balance accounts; identify, prepare and apply contractual allowances; initiate telephone inquiries to identify payments and remittances; photocopy various billing documents; update on‑line patient account system; review patient correspondence to determine if self‑pay accounts may be billable; and establish liability accounts. Provide clerical support, including scanning, distribution of incoming and outgoing correspondence and reports. Knowledge of commercial payers and workers’ comp.
Review, research, bill, collect, audit, appeal, and adjust patient accounts for Medi‑Cal Capitated/Managed Medi‑Cal plans using Epic System.
Key Responsibilities
Auditing (10%)
Research (10%)
Outgoing inquiries (40%)
Problem accounts (10%)
Adjusting (5%)
Rebilling and cross‑billing (10%)
Liability accounts (5%)
Special projects/miscellaneous (10%)
Minimum Qualifications
High school diploma, GED, or equivalent work experience.
Experience billing and collection for Medi‑Cal and Managed Medi‑Cal payors.
Experience analyzing and interpreting various government payer regulations to ensure compliance with the terms and conditions of the regulations.
Knowledge of medical terminology, ICD‑10, HCPCS/CPT codes; ability to use computer technology effectively to perform billing functions as well as to navigate the Web to obtain eligibility, benefits, claim status and upload requested data. Basic bookkeeping skills to effectively adjust accounts.
Preferred Qualifications
Experience with Epic, Microsoft Excel, Word, Outlook.
Ability to interpret payments, correspondence and denials from insurance companies, agencies and other departments. Knowledge of and demonstrated skill with various spreadsheet and software applications including Microsoft Excel, Word, Clearinghouse, Contract Management and Patient Accounting Systems.
Position Information
Salary or Pay Range: $28.90 – $35.92
Salary Frequency: Hourly
Salary Grade: 101
UC Job Title: PAT BILLER 3
UC Job Code: 004663
Number of Positions: 1
Appointment Type: Staff: Career
Percentage of Time: 100%
Shift (Work Schedule): 6:30 a.m. – 3:00 p.m.
Location: UCDHAS Building (HSP165) – Rancho Cordova, CA
Union Representation: EX-Patient Care Technical
Benefits Eligible: Yes
This position is hybrid (mix of on‑site and remote work).
Benefits
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.
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 and 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.
Work Environment
UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products and the use of unregulated nicotine products (e‑cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.
Special Requirements
This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment.
Misconduct Disclosure Requirement
As a condition of employment, the final candidate who accepts a conditional 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; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Equal Employment Opportunity
The University of California, Davis is an Equal 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.
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Under supervision, incumbents typically audit accounts, prepare and complete third‑party claims for electronic or hard copy submission; identify and post payments to individual accounts; perform patient billing; balance accounts; identify, prepare and apply contractual allowances; initiate telephone inquiries to identify payments and remittances; photocopy various billing documents; update on‑line patient account system; review patient correspondence to determine if self‑pay accounts may be billable; and establish liability accounts. Provide clerical support, including scanning, distribution of incoming and outgoing correspondence and reports. Knowledge of commercial payers and workers’ comp.
Review, research, bill, collect, audit, appeal, and adjust patient accounts for Medi‑Cal Capitated/Managed Medi‑Cal plans using Epic System.
Key Responsibilities
Auditing (10%)
Research (10%)
Outgoing inquiries (40%)
Problem accounts (10%)
Adjusting (5%)
Rebilling and cross‑billing (10%)
Liability accounts (5%)
Special projects/miscellaneous (10%)
Minimum Qualifications
High school diploma, GED, or equivalent work experience.
Experience billing and collection for Medi‑Cal and Managed Medi‑Cal payors.
Experience analyzing and interpreting various government payer regulations to ensure compliance with the terms and conditions of the regulations.
Knowledge of medical terminology, ICD‑10, HCPCS/CPT codes; ability to use computer technology effectively to perform billing functions as well as to navigate the Web to obtain eligibility, benefits, claim status and upload requested data. Basic bookkeeping skills to effectively adjust accounts.
Preferred Qualifications
Experience with Epic, Microsoft Excel, Word, Outlook.
Ability to interpret payments, correspondence and denials from insurance companies, agencies and other departments. Knowledge of and demonstrated skill with various spreadsheet and software applications including Microsoft Excel, Word, Clearinghouse, Contract Management and Patient Accounting Systems.
Position Information
Salary or Pay Range: $28.90 – $35.92
Salary Frequency: Hourly
Salary Grade: 101
UC Job Title: PAT BILLER 3
UC Job Code: 004663
Number of Positions: 1
Appointment Type: Staff: Career
Percentage of Time: 100%
Shift (Work Schedule): 6:30 a.m. – 3:00 p.m.
Location: UCDHAS Building (HSP165) – Rancho Cordova, CA
Union Representation: EX-Patient Care Technical
Benefits Eligible: Yes
This position is hybrid (mix of on‑site and remote work).
Benefits
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.
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 and 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.
Work Environment
UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products and the use of unregulated nicotine products (e‑cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.
Special Requirements
This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment.
Misconduct Disclosure Requirement
As a condition of employment, the final candidate who accepts a conditional 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; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Equal Employment Opportunity
The University of California, Davis is an Equal 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.
#J-18808-Ljbffr