Biller IV - HB Patient Financial Services - FT Days

Biller IV - Denial Specialist

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

Your Role on the Team

Position Summary: The Biller IV is a Denial Specialist and serves as a resource to other staff dealing with difficult accounts and needing help with troubleshooting. The Denials Specialist may be assigned to a specialized area of PFS requiring advanced knowledge and will respond to questions from patients, physicians, payers and others to include attorneys regarding the status of accounts. The Denials Specialist will identify trends by the payers and UCI, assisting in the resolution as appropriate and will act as a liaison between Patient Financial Services and contracted vendors.

What It Takes to be Successful

Required Qualifications: Skilled at using computerized systems and applications to maintain/update patient accounting information Must possess the skill, knowledge and ability essential to the successful performance of assigned duties Must demonstrate customer service skills appropriate to the job Good math skills to perform a variety of calculations related to patient accounting Excellent written and verbal communication skills in English Excellent communication skills to effectively interact with PFS staff, leaders of the organization, payers, patients and their families and the external community Effective data and numerical data entry skills Demonstrated experience in CPT, HCPC and ICD billing codes, authorization requirements and related documentation Advanced knowledge of revenue cycle processes gained from previous related work experience in a healthcare setting Advanced knowledge of a variety of non-governmental and governmental payers Ability to train staff and assist in assessing related competency proficiency Ability to resolve routine and non-routine errors independently and to assist others in problem solving Ability to maintain a work pace appropriate to the workload Ability to facilitate cash collection on patient accounts Ability to establish and maintain effective working relationships across the Health System Ability to be a resource to staff for problematic and difficult accounts

Preferred Qualifications: Prior reimbursement analyst experience Minimum 5 years' experience as a Denial Specialist Knowledge of University and medical center organizations, policies, procedures and forms

Total Rewards

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.

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 Employment Misconduct* Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. 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:

Closing Statement: The University of California is an Equal Opportunity Employer. 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 Anti-Discrimination 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 View email address on click.appcast.io or at View phone number on click.appcast.io, Monday - Friday from 8:30 a.m. - 5:00 p.m. Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization