Patient Biller

Job Summary

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

• 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.
• General 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.

• 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.

• 30% - Account Follow-Up
• 30% - Appeals
• 20% - Teamwork/Accountability
• 20% - Knowledge, Skills and

Professional Billing Group, a part of the UCDHS Financial Services Division, provides billing and collection services for approximately 900+ UCD Health System Faculty Physicians. This position provides billing and follow-up functions for the CCMC unit within PBG.

• 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 (HSP
  165)
• 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…