Patient Billing and Collections Manager - PB Financial Services - FT Days

About the Organization

UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals, and a growing network of ambulatory care centers across Orange and Los Angeles counties.

As Orange County’s only academic health system, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department, and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County, and southeast Los Angeles County through excellence in patient care, research, and medical education.

About the Role

The Billing Manager reports to the Assistant Director, Physicians Billing Group, and ensures the achievement of organizational goals and objectives through the coordinated efforts of their team. This position is responsible for the complex and comprehensive management, analysis, and organizational development and education of all activities related to professional fee billing and collections for PB Financial Services and clients.

Essential to this position is a comprehensive understanding of all patient care services, registration and scheduling, billing activity, and financial reporting in adherence to University guidelines. The incumbent is responsible for managing, analyzing, and overseeing all the daily operations of the billing units, including, but not limited to: registration, batching, coding, charge entry, collections, audits, and reporting.

The role also involves the development, implementation, and quality assurance of all policies and procedures as they relate to operations; providing maximum efficiency and reimbursement; and effectively communicating billing issues and trends to internal units of PB Financial Services.

Responsibilities

• Manage, analyze, and oversee daily operations of billing units, including registration, batching, coding, charge entry, collections, audits, and reporting.
• Develop, implement, and ensure quality assurance of policies and procedures related to billing operations.
• Provide maximum efficiency and reimbursement through effective management of billing processes.
• Communicate billing issues and trends to internal units of PB Financial Services.
• Oversee coordination of ongoing tasks and projects over extended periods.
• Review complex subordinate work thoroughly and accurately.
• Synthesize data and utilize computerized systems to produce meaningful reports on department operations.
• Exercise discretion in managing sensitive information, including employee and patient records, financial data, and strategic plans.
• Ensure sensitive information is properly safeguarded and shared only with individuals who have a legitimate business need to know.

Requirements

• Thorough knowledge of medical and insurance terminology, billing and/or collections internal procedures, and external regulations.
• Strong skills in quality customer service and interpersonal communication to manage conflict and collaborate effectively with patients, physician offices, third-party payors, attorneys, outside agencies, and clinical and administrative personnel.
• Strong critical thinking skills, with the ability to quickly analyze and evaluate complex problems, determine appropriate interventions, and develop solutions.
• Solid leadership skills to coach and improve staff performance.
• Ability to provide thorough and accurate review of complex subordinate work.
• Solid knowledge of human resources management policies, including evaluating and documenting performance.
• Skilled in written and verbal communications, with the ability to convey complex clinical finance and business information clearly and concisely.
• Excellent written and verbal English communication skills.
• Demonstrated supervisory, organizational, and customer service skills to effectively supervise and prioritize staff activities and manage complex workflows.
• Computer proficiency in relevant hardware, software, and specialty information systems used throughout the department.
• Bachelor's degree in a related area and/or equivalent experience/training.
• Ability to maintain a work pace appropriate to the workload and establish effective working relationships across the Health System.

Preferred Qualifications

• Knowledge of University and medical center organizations, policies, procedures, and forms.

Benefits

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include:

• Medical insurance
• Sick and vacation time
• Retirement savings plans
• Access to a number of discounts and perks

For more details, please refer to the links provided for our compensation practices and benefits.

Conditions of Employment

• Compliance with background check and Live Scan requirements.
• Employment misconduct disclosure as a condition of employment.
• Legal right to work in the United States.
• Adherence to vaccination policies.
• Compliance with smoking and tobacco policy.
• Drug-free environment.
• Exercise utmost discretion in managing sensitive information.
• Additional conditions may apply based on business unit or job-specific requirements, such as California Child Abuse and Neglect Reporting Act, E-Verify, and pre-placement health evaluation.

Proof of work authorization is required.