Career Center

Biller IV, Lead - Patient Financial Services - F/T Days


Updated: Mar 23, 2023
Location: Orange
Job Type:
Department: Patient Financial Services



UC Title: PAT BILLER 4

Position Number: 40862692

Reports to: Denials/Internal Audit Manager

Working Title: Biller IV, Lead

Cost Center: Patient Financial Services (428550)

Bargaining Unit: AFSCME

FLSA: Nonexempt

Date Created: 3/08/2023

Job Code: 004662

Hours: 40

Shift: Not Applicable

FTE: 1

Position Summary:

The incumbent will serve as a Lead/Specialist, acting as a resource to other staff dealing with difficult accounts and help with troubleshooting. May be assigned to a specialized area of PFS requiring advance knowledge of billing and collections in a hospital setting and will respond to questions from staff on complex contracting and policy guidelines. Trains staff and assists supervisor in assessing staff competencies. Gathers productivity statistics and helps identify trends, assisting in the resolution as appropriate. Acts as a liaison between Patient Financial Services and contracted vendors. The identification of essential functions and required qualifications below is not intended to be an exhaustive list of all duties and requirements that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.

Total Compensation

In addition to the salary range listed below, 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, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our:

Compensation practices (https://www.hr.uci.edu/partnership/totalrewards/compensation.php) and

Benefits (https://careersucirvine.ttcportals.com/pages/benefits).

Salary Range:

Hourly Rate Minimum $27.78 Midpoint $31.16 Maximum $34.54

Core Organizational Functions:

ACCOUNTABILITY: Responsible for the achievements and success of UC Irvine Health. Follows through and meets commitments; accountable for own actions and supportive of colleagues; presents self in appearance and actions in a manner that conveys professionalism and pride in area of responsibility; projects a positive presence and ensures that work related or personal frustrations are kept separate from patient care and professional activities; takes responsibility for problems and solutions; follows existing policies and procedures.

RESPECT: Foster an environment of mutual respect and trust among ourselves and with all whom we serve. Is always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or greets every individual using the individual's name, if known; treats all guests and co-workers with the utmost respect, dignity, courtesy and respects their confidentiality; arrives to meetings on time; keeps personal conversations with other employees offstage, out of earshot of patients and visitors.

INTEGRITY: Tells the truth and strives to earn the trust of those around us. Takes pride in their work, being honest and accountable in their words and actions; meets or exceeds department defined service expectations; makes the right decision in the best interest of UC Irvine Health.

INNOVATION: Seeks ideas and approaches that can change the way the world discovers, teaches and heals. Approaches work creatively and continuously looks for new and flexible ways to solve problems; encourages and implements ideas to improve safety, customer service and operational performance; works to create efficient and effective systems so that time is not spent repeating and fixing problems; initiates and supports change.

SERVICE: Collaborates to effectively and compassionately serve our patients, each other and the community. Anticipates customer's needs; maintains a calm, quiet, healing environment; accepts assignments graciously and carries out duties with pride; recognizes that every individual has an area of expertise and his/her contribution is valuable; keeps patients, families, customers and team members informed about time, thanks the person for waiting, and apologizes for delays.

Required Qualifications:

Advanced knowledge of a variety of non-governmental and governmental payers

Advanced knowledge of revenue cycle processes gained from previous related work experience in a healthcare setting

Excellent communication skills to effectively interact with PFS staff, leaders of the organization, payers, patients and their families and the external community

Skilled at using computerized systems and applications to maintain/update patient accounting information

Ability to resolve routine and non-routine errors independently and to assist others in problem solving

Good math skills to perform a variety of calculations related to patient accounting

Ability to train staff and assist in assessing related competency proficiency

Ability to be a resource to staff for problematic and difficult accounts

Demonstrated experience in CPT, HCPC and ICD billing codes, authorization requirements and related documentation

Effective data and numerical data entry skills

Ability to facilitate cash collection on patient accounts

5 or years of experience in commercial collections in a hospital setting

Proficient in reading commercial payer contracts and able to understand commercial payer policies

Ability to understand payer EOB's, correspondence and denials

Previous experience in the payer appeal process and have had success in collections from verbal and written appeals

Preferred Qualifications:

Prior experience as a lead

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
  
• Legal Right to Work in the United States
  
• Vaccination Policies
  
• Smoking and Tobacco Policy
  
• Drug Free Environment
  

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
  

• E-Verify
  
• Pre-Placement Health Evaluation
  

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine 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.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.


To apply, visit https://careersucirvine.ttcportals.com/jobs/11732505-biller-iv-lead-patient-financial-services-f-slash-t-days





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