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Revenue Cycle Billing Analyst

4 months ago

San Francisco, California, United States University of California - San Francisco Campus and Health Full time


Revenue Cycle Billing Analyst

Cancer Center Authorization Unit


Full Time


78160BR


Job Summary

The Revenue Cycle Billing Analyst (Analyst) supports all front-end billing functions for UCSF Comprehensive Cancer Services, which includes multiple specialty outpatient cancer programs. These functions include: analyzing denials, patient complaints and/or billing issues, auditing charge document completion and accuracy; coding and charge edits; follow-up with insurance companies as required, capturing insurance authorizations, documentation and tracking of authorizations, rejections, and other related issues. Applies organization policies and procedures to resolve a variety of moderately complicated issues such as claim edits, charge reviews, and RFI's.

Under general supervision, applies acquired skills as a analyst to complete projects of moderate scope and complexity to ensure maximum reimbursement is collected. Demonstrates broad understanding of all aspects of patient billing and follow-up operations. Pulls and analyzes the monthly denial reports and may provide suggestions for minimizing denials. This role applies deep understanding of the front end authorizations/billing and how the clinic operates to identify what the patient is looking for and resolve billing questions.

The final salary and offer components are subject to additional approvals based on UC policy. To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit:


Department Description

The Cancer Center Infusion Central Authorization Unit services patients from Cancer Infusion Services, Cancer Practices at the Helen Diller Family Comprehensive Cancer Center along with the regional sites that make up over 200,000 patient visits each year across all campuses.


Required Qualifications

  • Bachelor's degree in related area or four years of applicable experience.
  • Two or more years of experience in related field.
  • Wide breadth of knowledge across hospital and clinic billing and collections for government and commercial payors. Understanding of front end process such as authorization and assessing insurance coverage as well as back end patient financial services.
  • Strong knowledge of the regulations and confidentiality issues involved in the revenue side of medical care, including private and government insurance, self-pay, collections, and reporting and data management.
  • Working knowledge of reporting instruments, metrics and / or dashboard design.
  • Detail oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
  • Proficiency in common database, spreadsheet and presentation software. Strong computer proficiency in all relevant hardware and software, with a knowledge of spreadsheet and accounting applications, and a variety of specialized billing and insurance systems.
  • Demonstrated analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems. Strong analytical skills to produce comprehensive reports, and identify trends and variations.
  • Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas.
  • Strong ability to provide recommendations on issues of functionality and operations in billing. Ability to serve as a resource, providing expertise and education to staff and management at all levels.

Preferred Qualifications

  • Strong knowledge of billing and / or collections processes, concepts, systems and external regulations. Knowledge of medical terminology and coding.
  • Demonstrated communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to summarize and present reports and presentations.
  • Certified Professional Coder (CPC)

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.


Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at

Join us to find a rewarding career contributing to improving healthcare worldwide.


Equal Employment Opportunity

The University of California San Francisco 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, age, protected veteran or disabled status, or genetic information.


Organization

Health


Job Code and Payroll Title

007590 REVENUE CYCLE HC ANL 2


Job Category

Accounting / Finance, Administrative Support, Financial, Support Services


Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)


Employee Class

Career


Percentage

100%


Location

Fully Offsite, Remote / Telecommute


Shift

Days


Shift Length

8 Hours


Additional Shift Details

M-F



Equal Employment Opportunity The University of California San Francisco 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, age, protected veteran or disabled status, or genetic information. Further information about the University of California, San Francisco, is available at UCSF seeks candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence, and the communities we serve.