Updated: Oct 14, 2020 Location: UC Irvine Campus Job Type: Department: PHYSICIANS BILLING GROUP
Job Opening ID: 12020
Reports To: Director
Working Title: Billing Manager
Department: Physicians Billing Group
Bargaining Unit: 99
Payroll Job Code: 004669
Job Location: UCI Campus- Orange
Percent of Time: 100%
Work Schedule: 8-5, M-F
Employee Class: Career
The incumbent serves as the principal manager under the Director. This position is responsible for the complex and comprehensive management, analysis, organizational development and education of all activities related to professional fee billing and collections for PBG and clients. Essential to this position is a comprehensive understanding of all patient care services, registration and scheduling, billing activity and financial reporting in adherence to University guidelines. Responsible for managing, analyzing and overseeing all the daily operations of the billing units, including but not limited to: registration, batching, coding, charge entry, collections, audits and reporting. Responsible for the development, implementation and quality assurance of all policies and procedures as they relate to PBG operations to provide maximum efficiency and reimbursement. Effective communication of billing issues and trends to internal units of PBG.
Bachelor's degree in related area and / or equivalent experience / training.
Demonstrated skills to analyze billing and collections data and make recommendations to changes in clinical practice, reporting and documentation practices. Ability to work independently and to follow through on assignments. Ability to work cooperatively and effectively in group/team settings. Skill in taking initiative, setting priorities, and managing time to complete work in a timely manner. Ability to respond with flexibility and efficiency to frequent changes in task focus, competing priorities, and multiple deadlines. Ability to work quickly and accurately with close attention to detail. Ability to thoroughly analyze a problem, perform research, define problems/objectives, formulate logical conclusions or alternatives and make recommendations, and implement solutions. Effective communication skills to interact with a variety of staff, faculty, or others in a daily work environment. Ability to exercise good judgment and professionalism. Ability to compose reports, letters, instructions, and other documents with attention to clarity, tone, composition, and mechanics. Demonstrated skill in operating a PC computer, skill using word processing, spreadsheet, database, e-mail, and Internet applications on a PC in a Windows environment. Demonstrated budget and finance skills to perform basic accounting transactions such as debits, credits, journal entries and preparation and reconciliation of financial journals or reports. Demonstrated working knowledge and experience with spreadsheet software to develop historical and trend data of practice patterns and billing and collection activity involving abstracting and downloading of physician charge and reimbursement data. Ability to maintain and enforce confidentiality of medical records and information. Knowledge of HIPAA and PHI guidelines. Knowledge of effective collection procedures and techniques. Proficient use and extensive working knowledge of billing procedures, application and use of ICD-9, CPT and modifiers using professional coding guidelines consistent with University Compliance and Federal Regulations. Knowledge of RBRVS payment structure and physician contracts. Effective ability to generate, understand and present reports depicting financial activity of assigned clientele to senior management and clientele. Demonstrated ability to proactively and effectively address billing adversities with clients, insurance carriers, and internal units.
Minimum 2 years billing experience in an academic setting highly preferred to include working knowledge of billing and accounts receivable principles in a healthcare environment. Experience with ad-hoc reporting from SQL and/or other databases
Final candidate subject to background check. As a federal contractor, UC Irvine is required to use E-Verify to confirm the work status of individuals assigned to perform substantial work under certain federal contracts/subcontracts.
The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. 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 nondiscrimination policy.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact Human Resources at (949) 824-0500.
Since 1965, the University of California, Irvine has combined the strengths of a major research university with the bounty of an incomparable Southern California location. UCI's unyielding commitment to rigorous academics, cutting-edge research, and leadership and character development makes the campus a driving force for innovation and discovery that serves our local, national and global communities.