Patient Biller 3

#CA-DS

Under supervision, incumbents typically audit accounts, prepare and complete third party claims for electronic/hard copy submission; identify and post payments to individual accounts; perform patients billing; balance accounts; identify, prepare and apply contractual allowances; initiate telephone inquiries to identify payments and remittances; photocopy various billing documents; update on-line patient account system; review patient correspondence to determine if self-pay accounts may be billable; and establish liability accounts. Provide clerical support, this would include scanning, distribution of incoming and outgoing correspondence and reports. Knowledge of commercial payers and workers comp.

Resolve credit balances by determining accurate contractual postings and make corrections to reconcile the account and/or refund overpayment. Responsible for payment posting, reconciliation and reports to ensure posting accuracy. May be asked to work special projects. This position may also perform office duties consistent with that of Patient Biller 2, per operational needs.

Review/Research, Bill, collect, audit, appeal and adjust patient accounts for Medi-Cal Capitated/Managed Medi-Cal plans using Epic System

Apply By Date

8/11/2025 at 11:59pm

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position.

• High School diploma or GED or equivalent work experience or training
• Basic bookkeeping skills to effectively adjust accounts.
• Experience Billing and Collection for Medi-Cal and Commercial payors.
• Experience analyzing and interpreting various government payer regulations to ensure compliance with the terms and conditions of the regulations.
• Ability to use computer technology effectively to perform billing functions as well as to navigate through the World Wide Web to obtain eligibility, benefits, claim status and upload requested data.
• Knowledge of Medical Terminology, ICD 10, HCPCS/CPT codes

Preferred Qualifications

• Experience with Epic, Microsoft Excel, Word, Outlook
• Ability to interpret payments, correspondence and denials from insurance companies, agencies and other departments. Knowledge of and demonstrated skill with various spreadsheet and software applications including MICROSOFT EXCEL and WORD, Clearinghouse, Contract Management and Patient Accounting Systems.

Key Responsibilities

• 10% - Research
• 10% - Auditing
• 40% - Outgoing Inquiries
• 10% - Rebilling and Cross billing
• 5% - Adjusting
• 5% - Liability Accounts
• 10% - Special Projects/Misc
• 10% - Problem Account

Department Overview

Patient Financial Services (PFS) manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments as well as internal operational and functional reporting and support related to hospital/facility billing. PFS ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services rendered. PFS impacts processes to include charge capture, coding, insurance identification, data/charge entry, registration, authorizations, billing, payment posting, refund processing and collections.

Department Specific Job Scope

Billing and Collection for Managed Medi-Cal payors-Review and audit hospital charges, match payments to charges using Remittance Advice, determine reason for denials, search for supporting documentation, compose appeal letters, resolve claim edits, determine appropriate payor/plan based on insurance type, authorization, service provided and financial risk.

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: 2
• Appointment Type: Staff: Career
• Percentage of Time: 100
• Shift (Work Schedule): 6.30-3.00pm, 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.

Must be able to sit at a computer workstation looking at the monitor and using the keyboard and mouse for extended periods of time

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 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.

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