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)