#CA-DS
Responsible for claims billing and Follow up on claim denials and outstanding AR.
Apply By Date
9/6/2025 at 11:59pm
Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position.
- At least 1 year experience with Billing/Follow-up
- At least 1 year experience with follow up in Government payers ( Mcal, CCS, GMC)
- Extensive knowledge of medical billing/follow-up/reimbursement requirements and procedures for government programs, private third party insurance and private individuals.
- Knowledge of Medicare, Medicare Risk, Tricare and VA Plans is required.
- Extensive knowledge of Medi-Cal, CCS and Medi-Cal Managed Care Plans is required.
- Solid working knowledge in Epic Professional Billing Resolute
- Ability to analyze and interpret various types of Explanation of Benefits (EOB) and Remittance Advice (RA).
- Analytical skills to assess account balances and make determination/decision on further action.
- Knowledge of medical terminology to correlate reports to actual charges and to determine appropriateness of denials.
- General knowledge of credit and collection practices.
- Knowledge of basic accounting practices.
- Knowledge of Current Procedural Terminology (CPT) and Insurance Classification of Disease (ICD-9) policies related to medical billing.
Preferred Qualifications
- Bachelor's degree in related area and/or equivalent experience/training.
- Math skills to accurately add, subtract, multiply, and divide.
- Ability to read and comprehend department policy, internal and external correspondence.
- Writing skills to effectively compose internal and external correspondence.
- Proofreading skills to identify and correct your own errors.
- Communication skills to appropriately respond to account inquiries, both in person and over the telephone, communicate effectively with all internal and external customers.
- Ability to work independently.
- Ability to work cooperatively and constructively with employees and Administration.
- Ability to work accurately and quickly under pressure to meet deadlines established by the department, government programs, or private insurance carriers.
- Ability to be flexible in a quickly changing environment.
- Ability to follow verbal and written instructions.
- Ability to organize and prioritize tasks
- Keyboarding skills to effectively operate computer terminal and P.C.; prepare internal and external correspondence and forms as required.
- Ability to effectively operate standard office equipment including but not limited to photocopier, fax, and calculator.
- Ability to organize and maintain accurate files on patient financial information.
- Ability to file in alphabetical, numerical, and chronological order.
Key Responsibilities
- 25% - Claim Preparation
- 25% - Authorization Request
- 25% - Account Follow-up
- 20% - Appeals
- 5% - Special Projects As Assigned by Unit Supervisor
Department Overview
Professional Billing Group, a part of the UCDHS Financial Services Division, provides billing and collection services for approximately 825 UCD Health System Faculty Physicians. This position provides billing and follow-up functions for the Medi-Cal Unit of PBG
POSITION INFORMATION
- Salary or Pay Range: $28.90 - $35.92
- Salary Frequency: Hourly
- Salary Grade: 101
- UC Job Title: PAT BILLER 3
- UC Job Code: 004663
- Number of Positions: 1
- Appointment Type: Staff: Career
- Percentage of Time: 100%
- Shift (Work Schedule): 8:00am-5:00pm M-F, 8 hour
- Location: UCDHAS Building (HSP165)
- Union Representation: EX-Patient Care Technical
- Benefits Eligible: Yes
- This position is hybrid (mix of on-site and remote work)
- THIS IS NOT AN HI-B 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
* 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
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.
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.
- 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.
A Culture of Opportunity and Belonging
At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.
As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.
To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination
Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere
To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks