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UC Davis Health

Patient Services Representative 3

UC Davis Health, Sacramento, California, United States, 95828

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Patient Services Representative 3

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UC Davis Health

Overview Pediatric Heart Center. The incumbent is responsible for sustaining an environment of intrinsic goodwill for the practice while providing optimum services to patients. This position performs a variety of duties, providing front office support for the department/clinical team for which it is assigned. Percentages of time allocated to functions in this position description are a guideline only. Individual assignments and time actually worked in each functional area may vary based on the department’s operational needs.

Responsibilities

50% - Coordination of Medical Office Services

50% - Additional Job Functions

Minimum Qualifications

High School / GED equivalent or related work experience

Experience with practices and protocols related to medical office and/or health care scheduling or insurance 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 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 sufficient to use computer keyboard for timely and accurate input and production.

In depth knowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county funded coverage, and worker’s 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-10, CPT and HCPCS coding guidelines 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.)

Preferred Qualifications

Three (3) years of customer service experience and/or call center experience

Recent experience with EMR, such as EPIC, including In Basket and Work Queues.

Training or equivalent recent experience in billing, authorizations, referrals, medical terminology, and comprehensive insurance plans and products.

Recent experience in outpatient medical office.

Experience working in a front 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.

Previous experience in the specialty of the hiring outpatient clinic.

Demonstrated knowledge of Health System and UCD policies and procedures, or ability to learn.

Comprehension of University requisition systems, including those needed for ordering supplies and medical records.

Benefits and Position Details

Salary range: $29.46 - $36.63 hourly

Salary Frequency: Hourly

Salary Grade: 266

UC Job Title: MED OFC SVC CRD 3

UC Job Code: 009214

Number of Positions: 1

Appointment Type: Staff: Career

Percentage of Time: 100%

Shift: Mon-Fri 8a-4:30p

Location: Main Hospital (HSP001)

Union Representation: EX-Patient Care Technical

Benefits Eligible: Yes

This position is 100% on-site

Qualifications and Environment

Physical Demands: Standing, Walking, Sitting, Lifting 0-25 lbs, Pushing/Pulling 0-25 lbs, Bending/Stooping, Squatting/Kneeling, Twisting, Reaching overhead, Keyboard use/repetitive motion

Mental Demands: Sustained attention, complex problem solving, organization, communication, numerical skills, constant interaction, patient contact, multiple concurrent tasks

Work Environment: UC Davis is smoke and tobacco free; willingness to work overtime, variable days, and locations as required

Equal Employment Opportunity The University of California, Davis is an Equal 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 more information, visit UC policy on anti-discrimination.

We encourage you to apply even if your experience does not match every listed requirement. #YouBelongHere

To view the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks

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