Patient Biller 3

Job Summary

Responsible for claims billing and follow up on claim denials and outstanding AR.

Requirements

• High School diploma, GED or equivalent work experience
• Follow-up payer billing experience
• History of successful payor denial appeals
• Experience with commercial and third-party payors (including current regulations, time limitations and procedures)
• Knowledge of medical billing/reimbursement requirements and procedures including government programs, 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
• 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
• Good verbal and written communication skills. Documents and reports clearly and concisely. Conveys instructions, directions and information appropriately. Ability to write effectively and to compose internal and external correspondence

Qualifications

• Bachelor’s degree in related area or equivalent experience or training
• Two plus years experience in Commercial billing and follow up
• Solid working experience in Epic Professional Billing Resolute

Pay and Benefits

Salary or Pay Range: $30.65 - $38.10
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): 8:00am-5:00pm, Monday-Friday
Location: UCDHAS Building (HSP165)
Union Representation: EX-Patient Care Technical
Benefits Eligible: Yes

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

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 by visiting UCnet Benefits Page or Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees.

High quality and low-cost medical plans to choose from to fit your family's needs
UC pays for dental and vision coverage for you and your family
Retirement plans for eligible employees including Pension and other Retirement Saving Plans
Supplemental insurance offered including additional life, short/long term disability, pet insurance, legal coverage, accident, critical illness and hospital indemnity
Pregnancy and Parental Leave, Family & Medical Leave, Adoption Assistance and Pay for Family Care and Bonding for eligible employees
Lactation Support Program and Family Care discounts and resources
Employee Well-being resources and programming to support thriving in all aspects of employee’s lives
On-site Employee Assistance Program including access to free mental health services
Generous amount of paid Holidays annually as outlined in the UC Policies or Collective Bargaining Agreements
Paid Time Off/Vacation/Sick Time as outlined in the UC Policies or Collective Bargaining Agreements
Continuing Education (CE) allowance and Staff Education Reimbursement Program for eligible employees
Access to free professional development courses and learning opportunities for personal and professional growth
Public Service Loan Forgiveness (PSLF) Qualified Employer and Student Loan Debt Counseling Program for eligible employees

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

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 – Please contact your recruiter with questions regarding which activities apply by position

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

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

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.

A Culture of Opportunity and Belonging At UC Davis, we’re committed to solving life’s most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together. As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here.

The University of California, Davis is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.