5 Revenue Cycle HC Analyst 3 (REVENUE CYCLE HC ANL 3) - 70463 Jobs in Sacramento, CA
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Revenue Cycle HC Analyst 3 (REVENUE CYCLE HC ANL 3) - 70463
$78k-98k (estimate)
Full Time | Ancillary Healthcare
2 Days Ago
UC Davis Health is Hiring a Revenue Cycle HC Analyst 3 (REVENUE CYCLE HC ANL 3) - 70463 Near Sacramento, CA
Job SummaryThe primary functions of the PFS Payor analyst include hospital/facility billing reimbursement analysis, system/process development, problem resolution and workflow oversight.
SpecificallyPerform analysis and problem solving of issues/problems without precedent and/or structure
Provide detailed analysis and reporting of contract payor performance to include payment trends, denials, delinquencies and payment variances from expected reimbursement
Identify and track issues related to expected reimbursement vs payment discrepancies to maximize revenue and increase efficiency
Work with internal and external departments to formulate strategies and administer policies, processes, and resources
Ensure account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services
Review processes including authorization, registration, charge capture, coding, insurance identification, data entry, billing, contract management, payment posting, refund processing, and collections
Act as the department liaison for Contract Management system development and operation
Maintain contract profiles in EPIC and/or vendor system. Conducts extensive testing before contract profiles are deployed to the production environment.
This is a hybrid (remote & onsite) position.
Apply By Date7/12/2024 @ 11:59pm
QualificationsMinimum QualificationsFor full consideration applicants are encouraged to upload license and certification if required of the position.
Department Specific Job ScopePatient Financial Services (PFS) manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments as well as internal operational and functional reporting and support related to hospital/facility billing. PFS ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services rendered. PFS impacts processes to include charge capture, coding, insurance identification, data/charge entry, registration, authorizations, billing, payment posting, refund processing and collections.
POSITION INFORMATION
If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html
Special Requirements
For the University of California’s Affirmative Action Policy, please visit: https://policy.ucop.edu/doc/4010393/PPSM-20
For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination
Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don’t meet all the requirements? We still encourage you to apply! #YouBelongHere
SpecificallyPerform analysis and problem solving of issues/problems without precedent and/or structure
Provide detailed analysis and reporting of contract payor performance to include payment trends, denials, delinquencies and payment variances from expected reimbursement
Identify and track issues related to expected reimbursement vs payment discrepancies to maximize revenue and increase efficiency
Work with internal and external departments to formulate strategies and administer policies, processes, and resources
Ensure account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services
Review processes including authorization, registration, charge capture, coding, insurance identification, data entry, billing, contract management, payment posting, refund processing, and collections
Act as the department liaison for Contract Management system development and operation
Maintain contract profiles in EPIC and/or vendor system. Conducts extensive testing before contract profiles are deployed to the production environment.
This is a hybrid (remote & onsite) position.
Apply By Date7/12/2024 @ 11:59pm
QualificationsMinimum QualificationsFor full consideration applicants are encouraged to upload license and certification if required of the position.
- Bachelor's degree in related area and/or equivalent experience
- Academic institution or large integrated health system experience
- Knowledge of hospital/facility billing and reimbursement procedures, for Commercial/Managed Care and Government payors and the ability to recognize when procedures are not being followed; experience with contracts as it pertains to division of financial responsibility and evaluating billing and reimbursement terms
- Experience working with revenue cycle information systems or system implementation teams for complex projects, application development and/or support
- Hospital/facility billing and accounts receivable experience
- In-depth knowledge of the healthcare revenue cycle's practices, procedures, concepts, and component operations, including billing, collections, contractual terms, third-party reimbursements, and cash management
- Intermediate to advanced use of data mining software applications, including Microsoft Excel, and the ability to create Executive-level reporting in PowerPoint and Word
- Experience with Clearinghouse, Contract Management, and Patient Accounting systems
- Strong experience advising management, serving as a technical leader, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management
- Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner
- Intermediate level of operations and contract knowledge
- Billing and accounts receivable experience
- Intermediate skills in report development and various software tools specific to healthcare revenue cycle management
- Experience with Contract Management and Patient Accounting systems
- Strong organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule
- Strong skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management. Skills in common database, spreadsheet and presentation software
- Experience using tools such as Slicer and Tableau
- Experience building and maintaining contracts in EPIC Contracts
- 40% - Analysis and Reporting
- 40% - Quality Control
- 15% - Planning
- 5% - Special Projects/Other Duties as Assigned
Department Specific Job ScopePatient Financial Services (PFS) manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments as well as internal operational and functional reporting and support related to hospital/facility billing. PFS ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services rendered. PFS impacts processes to include charge capture, coding, insurance identification, data/charge entry, registration, authorizations, billing, payment posting, refund processing and collections.
POSITION INFORMATION
- Salary or Pay Range: $ 2,770.40 - $ 5,023.20
- Salary Frequency: Biweekly
- Salary Grade: 22
- UC Job Title: REVENUE CYCLE HC ANL 3
- Number of Positions: 1
- Appointment Type: Staff: Career
- Percentage of Time: 100
- Shift Hours: Day , 8 hours
- Location: UCDHAS Building (HSP165)
- Union Representation: 99 - Non-Represented (PPSM)
- Benefits Eligible: Yes
- Hybrid/Remote/Onsite: This position is hybrid (mix of on-site and remote work)
- THIS IS NOT AN H1- B OPPORTUNITY
If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html
- High quality and low-cost medical plans to choose from to fit your family’s needs
- UC pays for Dental and Vision insurance premiums for you and your family
- Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
- Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
- Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
- Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
- Access to free professional development courses and learning opportunities for personal and professional growth
- WorkLife and Wellness programs and resources
- On-site Employee Assistance Program including access to free mental health services
- Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
- Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
- Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here
- UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff
- Standing - Occasional Up to 3 Hours
- Walking - Occasional Up to 3 Hours
- Sitting - Continuous 6 to 8 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 - Continuous 6 to 8 Hours
- Sustained attention and concentration - Continuous 6 to 8 Hours
- Complex problem solving/reasoning - Continuous 6 to 8 Hours
- Ability to organize & prioritize - Continuous 6 to 8 Hours
- Communication skills - Continuous 6 to 8 Hours
- Numerical skills - Continuous 6 to 8 Hours
- Constant Interaction - Frequent 3 to 6 Hours
- Customer/Patient Contact - Occasional Up to 3 Hours
- Multiple Concurrent Tasks - Continuous 6 to 8 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
For the University of California’s Affirmative Action Policy, please visit: https://policy.ucop.edu/doc/4010393/PPSM-20
For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination
Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don’t meet all the requirements? We still encourage you to apply! #YouBelongHere
Job Summary
JOB TYPE
Full Time
INDUSTRY
Ancillary Healthcare
SALARY
$78k-98k (estimate)
POST DATE
07/04/2024
EXPIRATION DATE
07/28/2024
WEBSITE
health.ucdavis.edu
HEADQUARTERS
SACRAMENTO, CA
SIZE
15,000 - 50,000
FOUNDED
2012
REVENUE
$200M - $500M
INDUSTRY
Ancillary Healthcare
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