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Patient Biller 3

University of California Davis

Details

Posted:

November 27, 2024

Location:

Davis, California

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Type:

Full-time

Patient Biller 3

Job Summary

#DS-CA

Responsible for follow up on outstanding claims and claim denials with Commercial Payers

Apply By Date

12/9/2024 at 11:59pm

Minimum Qualifications

For full consideration applicants are encouraged to upload license and certification if required of the position.

Experience with medical billing/reimbursement. Requirements and procedures including Commercial payers, private third-party insurance, and private individuals.
Ability to analyze and interpret various types of Explanation of Benefits (EOB) and Remittance Advice (RA).
Analytical skills to assess account balances and make determination/decision on further action.
General knowledge of medical terminology in order to correlate reports to actual charges and to determine the appropriateness of denials.
Ability to compose effective appeal letters for initial and 2nd level appeals to payers
General knowledge of credit and collection practices.
Knowledge of basic accounting practices.
General knowledge of Current Procedural Terminology (CPT) and Insurance Classification of Disease (ICD-10) policies related to medical billing.
Math skills to accurately add, subtract, multiply, and divide.
Ability to read and comprehend department policy, internal and external correspondence.
Writing skills to effectively compose internal and external correspondence.
Proofreading skills to identify and correct own errors.
Communication skills to appropriately respond to account inquiries, both in person and over the telephone, and communicate effectively with all internal and external customers.
Ability to work independently.
Ability to work cooperatively and constructively with employees and Administration.
Ability to work accurately and quickly under pressure in order to meet deadlines established by the department, government programs, or private insurance carriers.
Ability to be flexible in a quickly changing environment.
Ability to follow verbal and written instructions.
Ability to organize and prioritize tasks
Keyboarding skills to effectively operate computer terminal and P.C.; prepare internal and external correspondence and forms as required.
Ability to effectively operate standard office equipment including but not limited to photocopier, scanner, fax, calculator
Ability to organize and maintain accurate files on patient financial information.
Ability to file in alphabetical, numerical, and chronological order.

Preferred Qualifications

Working knowledge of claims follow up, appeals and contracts for Commercial Payers

Key Responsibilities

30% - Account Follow-Up
30% - Appeals
20% - Teamwork/Accountability
15% - Knowledge, Skills and Abilities
5% - Special Projects as Assigned

Department Overview

Professional Billing Group, a part of the UCDHS Financial Services Division, provides billing and collection services for approximately 900+ UCD Health System Faculty Physicians. This position provides billing and follow-up functions for the CCMC unit within PBG

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: 8 business hours
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 HI-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: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

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 offer is contingent upon your successful completion of an Employment Misconduct Disclosure review where you will be required to disclose any final administrative or judicial decisions within the last seven years determining that you 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.
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: https://policy.ucop.edu/doc/4010393/PPSM-20

For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

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

To apply, visit https://careerspub.universityofcalifornia.edu/psc/ucdavis/EMPLOYEE/HRMS/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_JBPST_FL&JobOpeningId=74583&PostingSeq=1&SiteId=7〈uageCd=ENG&FOCUS=Applicant

The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. 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 categories covered by the UC nondiscrimination policy.

Internal Number: 5832694

About University of California Davis

UC Davis is the home of the Aggies — go-getters, change makers and problem solvers who make their mark at one of the top public universities in the United States. Since we first opened in 1908, we’ve been known for standout academics, sustainability and Aggie Pride as well as valuing the Northern California lifestyle. These themes are woven into our 100-plus-year history and our reputation for solving problems related to food, health, the environment and society.Our 5,300-acre campus is in the city of Davis, a vibrant college town of about 68,000 located in Yolo County. The state capital is 20 minutes away, and world-class destinations such as the San Francisco Bay Area, Lake Tahoe and the Napa Valley are within a two-hour drive.

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Patient Biller 3

University of California Davis

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