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Revenue Cycle Billing System and EPIC Resolute Support Analysts
University of California Davis
Details
Posted: 30-Apr-22
Location: Sacramento, California
Salary: Open
Categories:
Information Technology
Internal Number: 3041652
Revenue Cycle Billing System and EPIC Resolute Support Analysts
Department Description
The Revenue Integrity & Health Information Management Enterprise Services (RIHIMES) strives to achieve the highest customer satisfaction level by providing a well-documented, accurate, timely medical care record for continuing patient care, research, teaching, reimbursement and community service. Its primary purpose is to serve our patients by facilitating medical care, treatment, research, reimbursement and education based on a well-documented medical record. Billing System Support services part of RHIMES Team at UCD implements methodologies to efficiently manage and align staff, projects, process and technology to accurately assure payment for clinical services rendered at University of California, Davis Health
Job Summary
We offer exceptional employment benefits including medical, dental, and vision plans, generous paid vacations and holidays, excellent retirement savings and investment plans, continuing education, and reduced fee and scholarship programs.
THIS IS NOT AN H1- B OPPORTUNITY
Responsibilities
Responsible for supporting the revenue cycle and enterprise-wide integrated billing applications. Serve as a subject matter expert for all UC Davis Health involving revenue cycle activities, supporting billing business office requirements to design, develop, and implement system functionality to meet the organization's strategic needs. In addition, this individual will serve as liaison and as subject matter expert for other revenue integrity operational functions and work with other revenue cycle departments and vendor for various systems and support. This individual will work with department administrators, cross-functional workgroups, Information Technology project management, outside vendors, and consulting services to ensure optimization and revenue integrity. This position is also responsible for providing system process support, problem resolution, project management, analytical, research, and statistical support to the billing process for EPIC Resolute Application and Revenue Integrity Team. Responsible for aiding in maintaining systems, processes, and workflows for the timely and accurate recording of hospital/professional revenue.
Technical leader with a high degree of knowledge in the broad field and recognized expertise in specific areas; problem-solving frequently requires analysis of unique issues/problems without precedent and/or structure. Works with internal and external departments to formulate strategies and administer policies, processes, and resources, functions with a high degree of autonomy. Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting, and support. Impacts processes to include patient access, registration, insurance verification, authorizations, charge capture, coding, data entry, billing, and contract management. Provides expert analysis and reporting of revenue performance; identifies and tracks issues related to revenue in partnership with other revenue cycle/revenue integrity functional teams aiming to maximize revenue and increase efficiency. The primary functions of this position are analysis, system/process development, problem resolution, and workflow oversight. This position requires an expert level of operations and technical knowledge, a high level of independence and creativity, advanced analytical skills and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements, sound judgment, as well as organizational and priority setting abilities.
Required Qualifications
- Applicants are encouraged to upload license and certification if required of the position.
- Bachelor's Degree in Health Care Information Technology, Computer Science, or related area, and/or equivalent combination of experience/training.
- Billing and accounts receivable analysis/management experience.
- Experience working with revenue cycle information systems or system implementation teams for complex projects, application development, and support.
- Experience working with healthcare information systems.
- Technical knowledge of all licensed health care service plans, including State and Federal plans, billing policies and procedures, and the ability to recognize when they are not being followed.
- Knowledge of hospital billing and reimbursement procedures for Commercial/Managed Care and Government payers and the ability to recognize when policies are not being followed (including experience with contracts pertaining to the division of financial responsibility and evaluating billing and reimbursement terms).
- Expert knowledge of and demonstrated skill with various spreadsheet and software applications, including Microsoft Excel and Word, Clearinghouse, Contract Management, and Patient Accounting Systems.
- In-depth knowledge of the healthcare revenue cycle's practices, procedures, and concepts and its component operations, including billing, collections, charge capture, contractual terms, third-party reimbursements, and cash management.
- Knowledge of significant healthcare trends and issues that affect physicians, hospitals, and academic health centers.
- Knowledge of Health System methods, policies, and procedures.
- In-depth understanding of the issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring and analyzing the revenue cycle.
- Knowledge and skill in working with committees and user groups to facilitate group decision-making.
- Advanced organizational and project management skills and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
- Advanced communications skills to interpret and convey complex clinical finance information in a clear, concise manner.
- Advanced skills in report development and various software tools specific to healthcare revenue cycle management.
- Skills in a common database, spreadsheet, and presentation software.
- Advanced interpersonal skills, with the ability to collaborate effectively on highly complex projects in a team environment with various business and clinical areas.
- Writing skills to compose correspondence to parties outside the department and sufficiently communicate to other units within the department.
- Math skills to accurately add, subtract, multiply and divide.
- Reading skills to understand department policy and to read correspondence from within and outside the business office.
- Typing skills sufficient to operate computer terminal, prepare correspondence for both within and outside the department.
- Strong ability to advise management, serving as a technical expert, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management.
- Ability to interpret a large volume of data and report it in a concise, meaningful manner.
- Ability to prepare compelling and informative reports and presentations to all levels of staff and management.
- Ability to work accurately and quickly under pressure to meet deadlines set by the department, government programs, or private insurance carriers.
- Ability to review the work product of departmental employees and report findings.
- Ability to react with flexibility and patience and maintain efficiency and accuracy under sustained and immediate pressure created by a heavy workload, frequent interruptions, and multiple, sometimes competing requests.
- Ability to work cooperatively and constructively with employees and Administration.
- Ability to develop evaluation criteria for improving departmental activities/programs.
- Ability to develop reports or correspondence as required.
- Ability to use billing codes, including CPT, HCPCS, Revenue Codes and ICD-10.
- Develops and implements changes to systems, policies, and procedures to maintain currency in government regulations, reimbursement issues, and other matters having a potential financial impact.
- Demonstrates professionalism, tact, courtesy, and diplomacy in dealing with personnel at all levels outside the health system.
Preferred Qualifications
- Academic institution or large integrated health system experience.
- Experience working with clinical information systems or system implementation teams for complex projects and application development.
- Advanced organizational and project management skills and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
- Experience working with interfaced/integrated multi-vendor applications.
- Knowledge and understanding of University policies and procedures. Extensive knowledge of CMS Federal and State Provider Enrollment processes
Special Requirements
- This position may be subject to a criminal background investigation, drug screen, Live Scan fingerprinting, medical evaluation clearance, and functional capacity assessment.
- The University of California has implemented a SARS-CoV-2 (COVID-19) Vaccination Program SARS-CoV-2 Vaccination Policy (ucop.edu) covering all employees. To be compliant with the policy, employees must submit proof of vaccination or a University-approved exception or deferral.
EEO
The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.
Final Filing Date
5/27/2022
Salary Range
$6,608.33 - $14,808.33
Salary Frequency
Monthly
Appointment Type
Career
Number of Positions
2
Percentage of Time
100%
Shift Hour
8 hours
Location
Remote work available
City
Mather, CA
Union Representation
No
Benefits Eligible
Yes
To apply, visit https://careerspub.universityofcalifornia.edu/psp/ucdmed/EMPLOYEE/HRMS/c/HRS_HRAM.HRS_APP_SCHJOB.GBL?Page=HRS_APP_JBPST&Action=U&FOCUS=Applicant&SiteId=5&JobOpeningId=25038&PostingSeq=1
The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.
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About University of California Davis
UC Davis is the home of the Aggies — go-getters, change makers and problem solvers who make their mark at one of the top public universities in the United States. Since we first opened in 1908, we’ve been known for standout academics, sustainability and Aggie Pride as well as valuing the Northern California lifestyle. These themes are woven into our 100-plus-year history and our reputation for solving problems related to food, health, the environment and society.Our 5,300-acre campus is in the city of Davis, a vibrant college town of about 68,000 located in Yolo County. The state capital is 20 minutes away, and world-class destinations such as the San Francisco Bay Area, Lake Tahoe and the Napa Valley are within a two-hour drive.
More Jobs from This Employer
https://careers.cbia.org/jobs/16738199/revenue-cycle-billing-system-and-epic-resolute-support-analysts
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