Position Details
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Patient Biller
Job Number | Full/Part Time | Schedule | Salary |
---|---|---|---|
201810054342 | Full Time | 8AM - 5PM | $30,200 - $59,600 |
Position Information
Responsible for initial billing procedures for patient care and for subsequent actions required to assure correct, expeditious payment of patient bills and perform other related duties as assigned.
Incumbents apply a complete knowledge of private insurance, government programs, and uninsured patient billing procedures, as well as a knowledge of university procedures, such procedures being complex and subject to frequent revision. Billers maintain and use rate manuals and computer-generated data in initiating correct billing procedures; follow-up by telephone, personal inquiry, or statement to the proper source; review all accounts monthly; interpret carrier payments; verify accuracy of payments using knowledge of disallowances and percentage payments; and make corrections as necessary.
Under supervision, incumbents typically audit patient accounts, prepare and complete third-party claims for electronic/hard copy submission; identify and post payments to individual accounts; perform patient billing; balance case accounts; identify, prepare and apply contractual allowances; initiate telephone inquiries to identify payments and remittances; photocopy various billing documents; update online patient account system; review patient correspondence to determine if self-pay accounts may be billable; and establish liability accounts.
Supports all the basic operational aspects of the physician practices as related to patient registration, eligibility and benefit verification and securing authorizations. Additionally, this position will facilitate, coordinate and manage the transmission of all billing encounters.
Please Note: The classification title (expected Patient Biller 2) and salary range for this position are currently under review. The candidate will be placed on the anticipated salary range of $20.85 - $26.45 in accordance with the step placement methodology as defined in the collective bargaining agreement. The proposed title code for this position is covered under the AFSCME Patient Care Technical Unit Contract (EX).
Incumbents apply a complete knowledge of private insurance, government programs, and uninsured patient billing procedures, as well as a knowledge of university procedures, such procedures being complex and subject to frequent revision. Billers maintain and use rate manuals and computer-generated data in initiating correct billing procedures; follow-up by telephone, personal inquiry, or statement to the proper source; review all accounts monthly; interpret carrier payments; verify accuracy of payments using knowledge of disallowances and percentage payments; and make corrections as necessary.
Under supervision, incumbents typically audit patient accounts, prepare and complete third-party claims for electronic/hard copy submission; identify and post payments to individual accounts; perform patient billing; balance case accounts; identify, prepare and apply contractual allowances; initiate telephone inquiries to identify payments and remittances; photocopy various billing documents; update online patient account system; review patient correspondence to determine if self-pay accounts may be billable; and establish liability accounts.
Supports all the basic operational aspects of the physician practices as related to patient registration, eligibility and benefit verification and securing authorizations. Additionally, this position will facilitate, coordinate and manage the transmission of all billing encounters.
Please Note: The classification title (expected Patient Biller 2) and salary range for this position are currently under review. The candidate will be placed on the anticipated salary range of $20.85 - $26.45 in accordance with the step placement methodology as defined in the collective bargaining agreement. The proposed title code for this position is covered under the AFSCME Patient Care Technical Unit Contract (EX).
Minimum Requirements
Associates degree in a related field and at least one (1) year of related experience performing healthcare billing and insurance verification work. In lieu of the Associate degree requirement, candidates can substitute an additional two (2) years of directly related experience, for a total of three (3) years of experience.
Understanding of third party payor networks and managed care processes for the local market.
Knowledge of policies and procedures for clinical operations and basic billing practices. Understanding of third party payor networks and managed care processes for the local market. Basic knowledge of CPT coding and clinical documentation requirements.
Proficiency in Microsoft Office applications, Word, Excel, PowerPoint, Access, and internet resources.
Familiarity/experience with practice management/billing information systems and electronic medical records.
Basic knowledge and understanding of internal control practices and their impact on protecting university resources.
Interpersonal skills; service orientation; active listening; critical thinking; attention to detail, ability to multi-task in a high volume environment, effective verbal and written communication skills, organizational skills.
Ability to function effectively as a member of a team.
Ability to research and analyze data. Ability to work independently with minimal supervision. Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization. Ability to organize and prioritize work and manage multiple priorities in a high volume, demanding environment.
Understanding of third party payor networks and managed care processes for the local market.
Knowledge of policies and procedures for clinical operations and basic billing practices. Understanding of third party payor networks and managed care processes for the local market. Basic knowledge of CPT coding and clinical documentation requirements.
Proficiency in Microsoft Office applications, Word, Excel, PowerPoint, Access, and internet resources.
Familiarity/experience with practice management/billing information systems and electronic medical records.
Basic knowledge and understanding of internal control practices and their impact on protecting university resources.
Interpersonal skills; service orientation; active listening; critical thinking; attention to detail, ability to multi-task in a high volume environment, effective verbal and written communication skills, organizational skills.
Ability to function effectively as a member of a team.
Ability to research and analyze data. Ability to work independently with minimal supervision. Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization. Ability to organize and prioritize work and manage multiple priorities in a high volume, demanding environment.
Preferred Qualifications
EPIC experience.
Additional Information
In the Heart of Inland Southern California, UC Riverside is located on nearly 1,200 acres near Box Springs Mountain in Southern California; the park-like campus provides convenient access to the vibrant and growing Inland region. The campus is a living laboratory for the exploration of issues critical to growing communities'air, water, energy, transportation, politics, the arts, history and culture. UCR gives every student, faculty and staff member the resources to explore, engage, imagine and excel.
UC Riverside is recognized as one of the most ethnically diverse research universities in the country boasting several key rankings of which we are extremely proud.
For information about our generous employee benefits package, visit: Employee Benefits Overview
UC Riverside is recognized as one of the most ethnically diverse research universities in the country boasting several key rankings of which we are extremely proud.
- Washington Monthly (August 2016) ranked UC Riverside 12th in the nation in its annual University and College Survey. \
- Education Trust placed UC Riverside 9th in the nation for closing the graduation gap between black and white students by 1.7 percentage points.
- In QS World University Rankings 2016/2017, UC Riverside's Department of Philosophy is #1 in the world for the frequency with which published papers are cited by other philosophers.
- U.S. News and World Report Survey (September 2016) ranked UC Riverside 118th overall; earns "Great Schools, Great Prices."
- Shanghai Jiao Tong University (August 2016) Academic Ranking of World Universities ranked UC Riverside among the top 151 to 200 institutions. This survey bills itself as "the most trustworthy precursor of global rankings of the world's top 500 universities."
- U.S. News and World Report's Best Graduate Schools (2016) including:
- Graduate School of Education - 62nd among ranked schools
- Bourns College of Engineering - 71st among ranked schools
For information about our generous employee benefits package, visit: Employee Benefits Overview