Patient Biller 3

4 weeks ago

United PA, United States UC Davis Health System Full time
Job Summary

We are seeking a highly skilled Medical Billing Specialist to join our team at UC Davis Health System. As a key member of our Professional Billing Group, you will be responsible for providing billing and follow-up functions for the Government unit within our organization.

Key Responsibilities
  • 30% - Appeals: You will be responsible for handling appeals and ensuring that all necessary documentation is completed and submitted in a timely manner.
  • 30% - Account Follow-Up: You will be responsible for following up on outstanding accounts and ensuring that all necessary steps are taken to resolve any issues.
  • 20% - Teamwork/Accountability: You will work closely with our team to ensure that all tasks are completed efficiently and effectively.
  • 20% - Knowledge, Skills and Abilities: You will be responsible for maintaining and updating your knowledge and skills to ensure that you are up-to-date on all relevant medical billing and coding requirements.
Requirements
  • Extensive knowledge of Medi-Cal, CCS and Medi-Cal Managed Care Plans
  • Knowledge of Medicare, Medicare Risk, Tricare and VA Plans
  • Extensive knowledge of medical billing/follow-up/reimbursement requirements and procedures for government programs, private third party insurance and private individuals
  • Solid working knowledge in Epic Professional Billing Resolute
  • 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
  • Knowledge of medical terminology in order to correlate reports to actual charges and to 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 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
Working Conditions
  • 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
Special Requirements
  • This is a critical position, as defined by UC policy and local procedures, and as such, employment is contingent upon successful completion of background check(s), including but not limited to criminal record history background check(s)
  • 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

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