UCI Health
Reimbursement HC Analyst 3-HB Patient Financial Services-FT-Day
UCI Health, Anaheim, California, United States, 92808
Overview
Join to apply for the
Reimbursement HC Analyst 3-HB Patient Financial Services-FT-Day
role at
UCI Health . Position Summary: Serves as liaison between Patient Financial Services UC Irvine Health and legal business partners in the investigation, management, resolution and defense of claims, appeals, arbitrations or any other form of disputes up to and including legal proceedings. The duties vary including support of matters in pre-litigation and active litigation. Other legal work involves management of subpoenas, court appearances, mediations and trial appearances. This incumbent exhibits advanced knowledge of contract terms and conditions, serves as denial specialist and acts as a resource to other staff dealing with difficult accounts requiring troubleshooting assistance. Responsible for identifying trends by the payers and UCI, assisting in the resolution as appropriate. Responsibilities Work as a liaison between Patient Financial Services and legal business partners. Investigate, manage, and support resolution of claims, appeals, arbitrations, subpoenas, court appearances, mediations and trial appearances. Apply advanced knowledge of contract terms and conditions; act as denial specialist and troubleshoot difficult accounts. Identify payer and organizational trends and assist in resolving issues as appropriate.
Required Qualifications
Skilled at using computerized systems and applications to maintain/update patient accounting information. Minimum 5 years experience in acute hospital billing and collections, contract interpretation and claim denial resolution. Good math skills; excellent written and verbal communication in English. Effective data and numerical data entry skills; experience with CPT, HCPCS and ICD billing codes, authorization requirements and related documentation. Advanced knowledge of revenue cycle processes in a healthcare setting; experience with a variety of payers (governmental and non-governmental). Ability to think critically, problem solve independently and/or collaboratively; resolve routine and non-routine errors; maintain appropriate work pace. Ability to establish and maintain effective working relationships across the Health System.
Preferred Qualifications
Prior reimbursement analyst experience. Legal or paralegal training (CPHRM). Bachelors Degree in Business, Finance, or related field, or equivalent combination of education and experience.
Conditions of Employment
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. All applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan; Employment Misconduct; Legal Right to Work in the United States; Vaccination Policies; Smoking and Tobacco Policy; Drug Free Environment. Misconduct Disclosure: The final candidate who accepts a conditional offer will be required to disclose any misconduct findings within the last seven years; pending investigations; or any related proceedings. Additional policy references may apply by business unit. UCI is an Equal Opportunity Employer and provides reasonable accommodations for applicants with disabilities upon request. For more information, contact the Employee Experience Center at eec@ or (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m. Compensation and Employment Type
Employment type: Full-time. Total compensation and benefits information is provided by the employer and may include medical insurance, retirement plans, and other perks. Location mentioned: Los Angeles, CA (note: context from page may include multiple postings). Seniority level
Mid-Senior level #J-18808-Ljbffr
Join to apply for the
Reimbursement HC Analyst 3-HB Patient Financial Services-FT-Day
role at
UCI Health . Position Summary: Serves as liaison between Patient Financial Services UC Irvine Health and legal business partners in the investigation, management, resolution and defense of claims, appeals, arbitrations or any other form of disputes up to and including legal proceedings. The duties vary including support of matters in pre-litigation and active litigation. Other legal work involves management of subpoenas, court appearances, mediations and trial appearances. This incumbent exhibits advanced knowledge of contract terms and conditions, serves as denial specialist and acts as a resource to other staff dealing with difficult accounts requiring troubleshooting assistance. Responsible for identifying trends by the payers and UCI, assisting in the resolution as appropriate. Responsibilities Work as a liaison between Patient Financial Services and legal business partners. Investigate, manage, and support resolution of claims, appeals, arbitrations, subpoenas, court appearances, mediations and trial appearances. Apply advanced knowledge of contract terms and conditions; act as denial specialist and troubleshoot difficult accounts. Identify payer and organizational trends and assist in resolving issues as appropriate.
Required Qualifications
Skilled at using computerized systems and applications to maintain/update patient accounting information. Minimum 5 years experience in acute hospital billing and collections, contract interpretation and claim denial resolution. Good math skills; excellent written and verbal communication in English. Effective data and numerical data entry skills; experience with CPT, HCPCS and ICD billing codes, authorization requirements and related documentation. Advanced knowledge of revenue cycle processes in a healthcare setting; experience with a variety of payers (governmental and non-governmental). Ability to think critically, problem solve independently and/or collaboratively; resolve routine and non-routine errors; maintain appropriate work pace. Ability to establish and maintain effective working relationships across the Health System.
Preferred Qualifications
Prior reimbursement analyst experience. Legal or paralegal training (CPHRM). Bachelors Degree in Business, Finance, or related field, or equivalent combination of education and experience.
Conditions of Employment
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. All applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan; Employment Misconduct; Legal Right to Work in the United States; Vaccination Policies; Smoking and Tobacco Policy; Drug Free Environment. Misconduct Disclosure: The final candidate who accepts a conditional offer will be required to disclose any misconduct findings within the last seven years; pending investigations; or any related proceedings. Additional policy references may apply by business unit. UCI is an Equal Opportunity Employer and provides reasonable accommodations for applicants with disabilities upon request. For more information, contact the Employee Experience Center at eec@ or (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m. Compensation and Employment Type
Employment type: Full-time. Total compensation and benefits information is provided by the employer and may include medical insurance, retirement plans, and other perks. Location mentioned: Los Angeles, CA (note: context from page may include multiple postings). Seniority level
Mid-Senior level #J-18808-Ljbffr