Patient Biller 3

#CA-DS

Investigates highly complex claims to maximize hospital reimbursement for commercial, third party administered claim and Medicare risk payers. Provide detailed and accurate claim follow-up; appeal writing resolving claim denials and evaluation the collectability of claims. Manages insurance reimbursement from third-party billings and government insurance programs. Keeps abreast of the full array of payer contracts and billing / collections requirements.

Apply By Date

8/31/2025 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 equivalent or equivalent work experience or training
• Experience with Commercial insurance and Medicare risk claim follow-up, appeal writing and complex cases for hospital claims.
• Experience using payer portals.
• Independent decision-making skills to determine appropriate course of action when following up or billing accounts.
• Ability to effectively prioritize and handle heavy workload, pressures of deadlines and organizational skills to meet production standards and flexibility to cover or back-up team members as needed.
• Excellent oral and written communication skills using English and a demonstrated ability to tactfully, clearly and concisely convey complex information; utilize effective listening and questioning techniques.
• Familiarity with Medi-Cal, Medicare, commercial and other third-party payor program requirements, billing codes, diagnosis codes and medical terminology.
• Ability to understand contract language to properly identify payor reimbursement category to ensure accounts are at expected reimbursement.
• Ability to understand, utilize and apply contract/operational manual verbiage and terms.
• Excellent mathematical skills to audit accounts and calculate expected reimbursement/underpayments based on contract terms.
• Knowledge of third-party payor requirements and procedures to bill and follow-up accounts.
• 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.
• 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.
• Must be able to sit at a computer workstation looking at the monitor and using the keyboard and mouse for extended periods of time.
• Ability to read and interpret information sufficient to understand memos, manuals and bulletins regarding complex billing and follow-up procedures.
• Adaptability and flexibility to accommodate changes in policies, procedures and management.
• Basic bookkeeping skills to effectively adjust accounts.
• Ability to establish a good rapport and professional working relationship with all departmental personnel, management and outside parties, readily assist co-workers and maintain appropriate interdepartmental communications.
• Must be able to sit for long periods of time.

Preferred Qualifications

• Epic solution experience
• Microsoft Office Suite (Word, Excel, PowerPoint)

Key Responsibilities

• 25% - Denials or Payer Requests for Information
• 20% - Outgoing Inquiries
• 20% - Research
• 15% - Auditing
• 5% - Special Projects/Miscellaneous
• 5% - Rebilling and cross-billing
• 5% - Adjusting
• 5% - Patient Liability Accounts

Department Overview

Work closely with a team of patient follow-up staff collaborating on workflows to optimize processes. Good written and verbal communication.

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): Days, 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 - Continuous 6 to 8+ 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 - Continuous 6 to 8+ Hours

Mental Demands

• Sustained attention and concentration - Continuous 6 to 8+ Hours
• Complex problem solving/reasoning - Frequent 3 to 6 Hours
• Ability to organize & prioritize - Continuous 6 to 8+ Hours
• Communication skills - Continuous 6 to 8+ Hours
• Numerical skills - Frequent 3 to 6 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Occasional Up to 3 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 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