UC Davis Health Systems
Sacramento, CA, United States
This is a full time career position located in UC Davis Health System, Patient Care Network Billing, in Sacramento. Working hours are Monday through Friday 8:00 a.m. to 5:00 p.m. This classification is not represented by a union.
REQUIRED: --Recent significant experience as a supervisor or equivalent role in one or more of the following areas: outpatient medical billing operations, or medical clinic registration/front office operations --Significant experience using Epic Resolute or equivalent billing system to effectively work, Claim Edit, Credit and Follow-up PB work queues as well as the knowledge to audit, trace and adjust accounts using this system --Excellent leadership and supervisory skills --Ability to clearly communicate verbally, in writing or in person --Effective training skills in conjunction with experience and knowledge of the Epic Resolute PB follow-up or other equivalent billing system, and other aspects of the revenue cycle --Knowledge of Medicare, Medi-Cal, PPO and HMO billing practices for outpatient primary care clinics. Must have significant work experience with outside payor requirements and procedures related to billing and following up open balance accounts --Knowledge of CPT-4, HCPCS and ICD-9, ICD-10 coding appropriate for primary care, OB-GYN, radiology, and selected specialty billing --Problem solving and judgment skills to research, analyze and resolve or recommend alternatives to problem situations --Ability to effectively manage a heavy workload, delegate work to staff and handle pressure of deadlines --Knowledge and experience with Payment and Denial posting, preferably in the Epic Enterprise Payment Posting Module PREFERRED: --Knowledge and experience of other medical or health systems associated with our revenue cycle follow-up --Knowledge and experience in the Medicare and Medi-Cal provider enrollment process --Knowledge of the UCDHS provider credentialing system Responsibilities primary and secondary billing claims for all PCN medical services, is responsible for all third-party A/R follow-up, and is responsible for resolving PCN credit balance accounts. The Patient Biller V Supervisor is responsible for one team of PCN Billing Department Patient Billers assigned to A/R follow-up. The primary focus of each PCN Billing team is to follow-up on all payor reimbursement denials, correcting billing information that is in error and appealing all unpaid but correctable claims. Each team is responsible for the A/R follow-up of a specific group of payors, e.g. Medicare, Medi-Cal, Commercial/PPO, W/Comp, CHDP, or others. The Supervisor is responsible for directing staff members relative to the billing (collection) policies and performance guidelines specified by the Manager of PCN Billing.
Special Requirements --THIS POSITION MAY BE SUBJECT TO A CRIMINAL BACKGROUND INVESTIGATION, DRUG SCREEN, LIVE SCAN FINGERPRINTING, MEDICAL EVALUATION CLEARANCE, AND FUNCTIONAL CAPACITY ASSESSMENT.
UC Davis Health Systems
Sacramento, CA 94203, United States
Two full time career positions located in UC Davis Health System, School of Medicine, Emergency Medicine, in Sacramento. Working hours are Monday through Friday 8:00 a.m. to 5:00 p.m. This classification is not represented by a union. This position is open until filled. Interviews may be held at any time. Requirements REQUIRED: --Experience managing and analyzing databases using statistical software such as SAS, R, or Stata for analysis and graphics --Experience with Microsoft Access or equivalent relational database management programs / programming languages --Understanding of principles of epidemiological and/or clinical study design --Experience with scientific manuscript writing and data analysis in an academic, research, or similar setting --Experience with performing and summarizing scientific literature reviews --Understanding principles of program design and evaluation --Organizational skills and ability to function independently, keep track of multiple projects, work to meet specific deadlines, and document procedures PREFERRED: --Masters in biostatistics, statistics, epidemiology, or a related field --Experience analyzing large administrative datasets, including coding and evaluating deterministic and probabilistic record linkage --Evidence of significant contributions to published research, such as authorship --Experience with analysis of clinical and health outcomes data --Skills to assist with the development and implementation of innovative statistical approaches to solve complex analytical requirements --Knowledge of mathematical statistics Responsibilities The Research Data Analyst III is responsible for data collection, management, quality control, record linkage, and analysis of data for a series of studies related to epidemiology of prescription opioid use, abuse, and overdose, including related topics such as mental health, other types of substance use, and pain management. Provides research study support to faculty and non-faculty investigators in designing, conducting, and summarizing the findings of literature reviews for grant proposals and manuscripts, in grant proposal and manuscript writing, in preparing materials for conferences and lectures, and in submitting IRB protocols. Participates in overall study design, analysis plan design, execution of analyses, and interpretation of the results of data analyses. Performs other duties related to project coordination and administration as assigned, including preparing and coordinating data requests with state and national agencies. Special Requirements --Pass a Department of Justice background check that includes fingerprinting from a CDOJ-approved LiveScan provider within the first 30 days of employment. --Willing to travel between UCDHS and California Dept of Justice (4949 Broadway, Sacramento) and work at both locations --Willing to work extra hours, including evenings and weekends, to meet project or proposal deadlines --Willing to work on projects in fields that are perceived as controversial --THIS POSITION MAY BE SUBJECT TO A CRIMINAL BACKGROUND INVESTIGATION, DRUG SCREEN, LIVE SCAN FINGERPRINTING, MEDICAL EVALUATION CLEARANCE, AND FUNCTIONAL CAPACITY ASSESSMENT.
UC Davis Health Systems
Sacramento, CA 94203, United States
UC Davis is an equal opportunity/affirmative action employer committed to excellence through diversity.
Job Title: Clinic Manager
Department Description The Department of Psychiatry and Behavioral Sciences offers a wealth of opportunities for students and faculty for clinical and research applications in all aspects of psychiatry and behavioral sciences.
Salary Range : $2636.00 to $4751.20 Salary Frequency : Bi-weekly No. of Positions : 1 Appointment Type : Career Percentage of Time : 100% Shift Hour : 08 Hours Location : Behavioral Health Center City : Sacramento Union Representation : No Benefits Eligible : Yes 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.
Successful work experience in new program start-up and general organizational development, consultation, management of group dynamics, and management development in relation to facilitating effective organizational and operational change in a behavioral health care environment. In particular, demonstration of a high degree and level of expertise in communications and interpersonal skills (conflict resolution and coalition building)
Knowledge of business management principles; and of budget control and accounting principles, including capital budgeting, cost accounting, professional and patient billing, contract administration
Skills in strategic planning and systems management
Experience in mental health care delivery system development and implementatio
Provider relations and practice management experience in a mental health managed care environment
Professional training in the behavioral health care field in a managed care environment
Ability to integrate the understanding of UCD/UCDHS' mission, commitments and projects within a service-oriented health care environment. Ability to incorporate knowledge of JCAHO and Title 22 rules and regulations to assure that clinic programs and operations are in compliance.
Strong leadership and management skills to provide planning, coordination and direction to departmental staff, and to propose innovative solutions to management problems
Personnel management skills to include developing position descriptions, recruiting, interviewing, selecting, training, evaluating and disciplining others
Experience in negotiating, contracting, and/or alternative health care reimbursement and delivery system
Marketing and/or public relations experience
SPECIAL REQUIREMENT: - THIS POSITION MAY BE SUBJECT TO A CRIMINAL BACKGROUND INVESTIGATION, DRUG SCREEN, LIVE SCAN FINGERPRINTING, MEDICAL EVALUATION CLEARANCE, AND FUNCTIONAL CAPACITY ASSESSMENT
The Clinic Manager (Payroll Title: Community Health Program Assistant Chief) has responsibility for the management of the Department of Psychiatry's clinical practice. It is the role of the Manager to balance the requirements of the academic department and the clinical practice to meet the common needs of the School of Medicine and the Health System.