Patient Biller 3
University of California- Davis Health, Sacramento, CA, United States
Overview
Job Summary
Under supervision, incumbents typically audit accounts, prepare and complete third party claims for electronic/hard copy submission; identify and post payments to individual accounts; perform patients 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, this would include 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.
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 through the World Wide 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 and Word, Clearinghouse, Contract Management and Patient Accounting Systems.
Key Responsibilities
10% - Auditing
10% - Research
40% - Outgoing Inquiries
10% - Problem Accounts
5% - Adjusting
10% - Rebilling and Cross-Billing
5% - Liability Accounts
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.
Department Specific Job Scope
Billing and Collection for Managed Medi-Cal payors - Review and audit hospital charges, match payments to charges using Remittance Advice, determine reason for denials, search for supporting documentation, compose appeal letters, resolve claim edits, determine appropriate payor/plan based on insurance type, authorization, service provided and financial risk.
Position Information
Salary or Pay Range: $28.90 - $35.92 hourly
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: 6:30AM to 3:00PM
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
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 the Benefits Summary pages linked in the original posting. If you are represented by a union, benefits are negotiated between the University of California and your union and finalized in a contract.
High quality and low-cost medical plans
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 policies
Continuing Education allowance and Education Reimbursement Program
Access to professional development courses and learning opportunities
WorkLife and Wellness programs
Employee Assistance Program with mental health services
Supplemental insurance options
Student loan repayment programs for qualified roles
Retirement benefit options for eligible roles
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
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
Work Environment
UC Davis is a smoke and tobacco free campus. This policy applies to all UC Davis owned or leased property, indoors and outdoors.
Special Requirements
This is a critical position; 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: The final candidate must disclose if they have been subject to certain misconduct decisions or investigations in the last seven years as described in the posting.
A Culture of Opportunity and Belonging: UC 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. See the university policies for anti-discrimination.
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Job Summary
Under supervision, incumbents typically audit accounts, prepare and complete third party claims for electronic/hard copy submission; identify and post payments to individual accounts; perform patients 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, this would include 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.
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 through the World Wide 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 and Word, Clearinghouse, Contract Management and Patient Accounting Systems.
Key Responsibilities
10% - Auditing
10% - Research
40% - Outgoing Inquiries
10% - Problem Accounts
5% - Adjusting
10% - Rebilling and Cross-Billing
5% - Liability Accounts
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.
Department Specific Job Scope
Billing and Collection for Managed Medi-Cal payors - Review and audit hospital charges, match payments to charges using Remittance Advice, determine reason for denials, search for supporting documentation, compose appeal letters, resolve claim edits, determine appropriate payor/plan based on insurance type, authorization, service provided and financial risk.
Position Information
Salary or Pay Range: $28.90 - $35.92 hourly
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: 6:30AM to 3:00PM
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
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 the Benefits Summary pages linked in the original posting. If you are represented by a union, benefits are negotiated between the University of California and your union and finalized in a contract.
High quality and low-cost medical plans
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 policies
Continuing Education allowance and Education Reimbursement Program
Access to professional development courses and learning opportunities
WorkLife and Wellness programs
Employee Assistance Program with mental health services
Supplemental insurance options
Student loan repayment programs for qualified roles
Retirement benefit options for eligible roles
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
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
Work Environment
UC Davis is a smoke and tobacco free campus. This policy applies to all UC Davis owned or leased property, indoors and outdoors.
Special Requirements
This is a critical position; 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: The final candidate must disclose if they have been subject to certain misconduct decisions or investigations in the last seven years as described in the posting.
A Culture of Opportunity and Belonging: UC 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. See the university policies for anti-discrimination.
#J-18808-Ljbffr