Pre-Legal / Denials Prevention Coordinator -HB Patient Financial Services-FT-Day

Req ID: 111221
Location: Anaheim, California
Division: Medical Center
Department: HB Patient Financial Services
Position Type: Full Time
Salary Range Minimum: USD $79,200.00/Yr.
Salary Range Maximum: USD $143,400.00/Yr.

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Your Role on the Team

Position Summary:
Serves as liaison between Patient Financial Services UC Irvine Health and legal business partners in the investigation, management, resolution and defense of claims, appeals, arbitrations or any other form of disputes up to and including legal proceedings. The duties vary including support of matters in pre-litigation and active litigation. Other legal work involves management of subpoenas, court appearances, mediations and trial appearances. This incumbent exhibits advanced knowledge of contract terms and conditions, serves as denial specialist and acts as a resource to other staff dealing with difficult accounts requiring troubleshooting assistance. Responsible for identifying trends by the payers and UCI, assisting in the resolution as appropriate.

What It Takes to be Successful

Required Qualifications:

Skilled at using computerized systems and applications to maintain/update patient accounting information

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Must demonstrate customer service skills appropriate to the job

Minimum 5 years' experience acute hospital billing and collections, contract interpretation and claim denial resolution

Good math skills to perform a variety of calculations related to patient accounting

Excellent written and verbal communication skills in English

Excellent communication skills to effectively interact with PFS staff, leaders of the organization, payers, patients and their families and the external community

Effective data and numerical data entry skills

Demonstrated experience in CPT, HCPC and ICD billing codes, authorization requirements and related documentation

Advanced knowledge of revenue cycle processes gained from previous related work experience in a healthcare setting

Advanced knowledge of a variety of non-governmental and governmental payers

Ability to think critically and problem solve independently and/or collaboratively as the situation dictates

Ability to resolve routine and non-routine errors independently and to assist others in problem solving

Ability to maintain a work pace appropriate to the workload

Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

Prior reimbursement analyst experience

Legal or paralegal training(CPHRM)

Knowledge of University and Medical Center organizations, policies, procedures and forms

Bachelor's Degree in Business, Finance, or related field, or an equivalent combination of education and experience

Total Compensation
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

*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.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California is an Equal Opportunity Employer. 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 Anti-Discrimination Policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization

To apply, visit https://jobs.uci.edu/careers-home/jobs/111221







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