Patient Biller 3

Responsible for claims billing, follow-up on claim denials, and outstanding accounts receivable.

Responsibilities

• Claim Preparation (25%)
• Authorization Request (20%)
• Account Follow-up (25%)
• Appeals (25%)
• Special Projects as assigned by Unit Supervisor (5%)

Requirements

• High School diploma/GED or equivalent work experience
• Follow-up payer billing experience
• History of successful payor denial appeals
• Experience with government and third-party payors, including current regulations, time limitations, and procedures
• Extensive knowledge of Medicare, Medicare Risk Plans, Tricare, and VA Plans
• Extensive knowledge of medical billing, follow-up, and reimbursement requirements for government programs, private third-party insurance, and private individuals
• Ability to analyze and interpret Explanation of Benefits (EOB) and Remittance Advice (RA)
• Analytical skills to assess account balances and determine further action
• Knowledge of medical terminology to correlate reports to actual charges and determine appropriateness of denials
• General knowledge of credit and collection practices
• Knowledge of basic accounting practices
• 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 errors
• Communication skills to appropriately respond to account inquiries, both in person and over the telephone
• Ability to work independently and cooperatively with employees and administration
• Ability to work accurately and quickly under pressure to meet deadlines
• 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 operate computer terminal and PC
• Ability to operate standard office equipment (photocopier, fax, calculator)
• Ability to organize and maintain accurate files on patient financial information
• Ability to file in alphabetical, numerical, and chronological order
• Good verbal and written communication skills

Preferred Qualifications

• Bachelor’s degree in a related area and/or equivalent experience/training
• Two or more years of experience in government billing and follow-up
• Solid working experience in Epic Professional Billing Resolute

About the Department

The Professional Billing Group, part of the UCDHS Financial Services Division, provides billing and collection services for approximately 825 UCD Health System Faculty Physicians. This position provides billing and follow-up functions for the Government Unit of PBG.

Pay

$30.65 - $38.10 per hour

Schedule

8:00 AM – 5:00 PM, Monday through Friday

This position is hybrid (mix of on-site and remote work).

Benefits

• High-quality, low-cost medical plans for you and your family
• UC-paid dental and vision coverage for you and your family
• Retirement plans, including pension and other retirement savings plans
• Supplemental insurance (life, short/long-term disability, pet, legal, accident, critical illness, hospital indemnity)
• Pregnancy and parental leave, family & medical leave, adoption assistance, and pay for family care and bonding
• Lactation support program and family care discounts
• Employee well-being resources and programming
• On-site Employee Assistance Program with free mental health services
• Paid holidays, vacation, and sick time
• Continuing education allowance and staff education reimbursement program
• Access to free professional development courses and learning opportunities
• Public Service Loan Forgiveness (PSLF) qualified employer and student loan debt counseling program

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