What are the responsibilities and job description for the Patient Services Representative 3 position at University of California Davis Health System?
Cancer Center Clinics
The incumbent is responsible for sustaining an environment of intrinsic good will for the practice while providing optimum services to patients. This position requires the skills and ability to manage the level of responsibility and accountability necessary to provide specialized duties supporting the Cancer Center Adult Clinics.
Apply By Date 2/2/2025 by 11:59pm
Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position
- No minimum education required.
- In-depth knowledge of health care insurance systems, which may include Medi-Cal, Medicare, HMO, PPO, fee-for-service, county-funded coverage, and workers’ compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients.
- Knowledge of ICD-9, CPT, and HCPCS coding guidelines is sufficient to accurately identify services performed, including diagnoses, procedures, and supplies.
- Knowledge and experience of practices and protocols related to medical office procedures, (i.e., medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)
- Ability to accomplish a variety of concurrent assignments in an effective and efficient manner, demonstrating the ability to organize, prioritize and complete assignments in a designated time frame. Ability to adjust to changing workload or assignments and pressures of increased workload or deadlines.
- Problem-solving skills to independently define a problem identify the resources available to help solve the problem, create viable solutions and take the necessary action to implement problem resolution and ensure prompt and satisfactory resolution.
- Decision-making skills to independently exercise delegated authority to take action and to appropriately seek assistance from others when limits of delegated authority have been reached.
- Interpersonal skills to establish and maintain effective working relationships with all co-workers; to consistently interact with patients and other members of the public with patience, courtesy, and professionalism, both in-person and on the telephone; and to effectively respond to individuals who may be angry or upset.
- Ability to efficiently use computer system applications for all functions required for this position, including electronic mail, spreadsheets, word processing, and medical office management, (i.e. scheduling, template maintenance, maintenance of demographic and insurance information).
- Typing skills are sufficient to use the computer keyboard for timely and accurate input and production. Writing skills, using proper English grammar, spelling, and punctuation, sufficient to compose messages and/or routine correspondence, which is clear, concise, and easy to understand.
- Bookkeeping skills sufficient to maintain accurate records of patient financial transactions, prepare related financial reports, balance cash box, and prepare deposits.
Preferred Qualifications
- High School Diploma, GED equivalent or related work experience.
- Customer Service background in previous job positions
- Experience working in a back office for a clinic, physician or health insurance company processing referrals or authorizations for patient services. Examples could include scheduling, ordering patient records to support diagnosis or medical necessity.
- Insurance eligibility and benefits.
- Referral entry and processing.
- Authorization processing for submission, follow up and denial of authorization.
- EPIC knowledge specifically for Referral, Authorization, In Basket and Work Queues
Key Responsibilities
- 70% - Primary Job Functions
- 30% - Additional Job Functions
Department Overview
Cancer Center Clinics department at UCD Davis Medical Center provide care to adult patients with a variety of Ambulatory (medical, surgical, critical care, emergent perioperative) needs. Patient conditions include benign and malignant hematologic and solid tumor diagnoses, seen within a variety of sub-specialties (Hematology and Medical Oncology, Gynecology Oncology, Pulmonary Oncology, Surgical Oncology, Thoracic Oncology, Urology). Patients may have a variety of medical and surgical needs.
This position will primarily process authorizations and referrals for the UCD Cancer Center.
POSITION INFORMATION
- Salary or Pay Range: $ 28.06 - $34.89
- Salary Frequency: UCHRLY - Hourly Rate
- Salary Grade: STEPS
- UC Job Title: MED OFC SVC CRD 3
- UC Job Code: 009214
- Number of Positions:
- Appointment Type: Staff: Career
- Percentage of Time: 100
- Shift Hours: 8am-5pm
- Location: Armstrong Building (OTH167)
- Union Representation: EX-Patient Care Technical
- Benefits Eligible:
- This position is 100% on-site
- This is not a H-1B Visa opportunity
Benefits
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 rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page .
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
Physical Demands
- 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
Mental Demands
- Sustained attention and concentration - Frequent 3 to 6 Hours
- Complex problem solving/reasoning - Occasional Up to 3 Hours
- Ability to organize & prioritize - Frequent 3 to 6 Hours
- Communication skills - Frequent 3 to 6 Hours
- Numerical skills - Occasional Up to 3 Hours
- Constant Interaction - Frequent 3 to 6 Hours
- Customer/Patient Contact - Frequent 3 to 6 Hours
- Multiple Concurrent Tasks - Frequent 3 to 6 Hours
Work Environment
- UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.
- Must be willing to work variable days (including weekends), hours and locations as required to meet business needs of the practice. For positions with medical records responsibilities, duties require ability to retrieve and file bulky medical record charts (up to 3" thick) stored in filing cabinets and on shelves that may be above shoulder level and below waist level, and to efficiently transport multiple charts weighing 5 to 25 pounds throughout the medical office.
Special Requirements – Please contact your recruiter with questions regarding which activities apply by position
- This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
- The duties or functions of this position include the handling of cash (or cash equivalents)
- 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
- 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 within the last seven years 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.
Diversity, Equity, Inclusion and Belonging
At UC Davis, we’re solving life’s most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don’t just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds and you belong here. As you consider joining UC Davis, please explore our Principles of Community , our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected . The University of California, Davis is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.
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
To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks
Salary : $28 - $35
