The Principal Access Representative is directly responsible for activities related to the completion of registration, insurance eligibility, benefit, and authorizations, securing sponsorship and completion of applications for County, State and Federal funding programs successfully. These activities include reception, registration, insurance verification, payor notification, authorization verification, securing sponsorship, educating patients or family members on various programs ( Medi-Cal, Medicare, County Medically Indigent Services, Victims of Violent Crime and other financial assistance linkages), completing applications for assistance programs, making appropriate referrals and notifications, collecting payments, co-pays, deductibles and assuring all avenues of reimbursement or assistance are pursued to guarantee payment for uninsured or under insured patients.

Apply By Date

3/31/2024

Minimum Qualifications

• Working knowledge of eligibility, authorization and utilization review requirements related to Federal, State and County sponsored programs including but not limited to Medicare, Medi-Cal, CMlSP, California Children Services, Champus, HMO, PPO and managed care groups
• Skill in analyzing a variety of factors regarding eligibility, third party payers, authorization and benefit limits to determine the need for further facts or administrative consultation
• Skill in interviewing individuals from diverse cultural backgrounds including, listening perceptively, identifying and clarifying financial problem areas, interacting effectively with a variety of behaviors including fear, grieving, hostility and non-cooperation, ensuring that the individuals clearly understand their rights and financial options
• Working knowledge of on line registration, verification and authorization procedures
• Ability to evaluate and continuously reprioritize workload to ensure financial security is maintained and payor timelines are met
• Skill to quickly assimilate and retain a large body of financial information
• Skill in writing concise, grammatically correct online correspondence. Legible handwriting to complete correspondence, forms and folder notes
• Ability to calculate percentages and perform mathematical functions to estimate balances, with working knowledge of medical terminology, anatomy, ICD-10 and CPT coding
• Documented experience using the following computer applications: EPIC, Microsoft word, Microsoft Outlook, Excel, Internet (for insurance web sites, UCDHS policy and procedure updates)
• Ability to learn Departmental Finance Database applications
• Oral communication skills to clearly convey and obtain information from patients, families, attorneys, and payors
• Knowledge of HMO/PPO/EPO/FFS, Federal/State/County programs and third party payor eligibility /authorization processes to ensure timely reimbursement

Department Description

The sections of Inpatient/Outpatient Access and Financial Counseling each with its own functions and subspecialties works together to coordinate financial security for inpatient/outpatients receiving care of UC Davis Health System. The unit is called the Financial Clearance Unit.

Position Information

• Salary or Pay Range: $28.88 - $35.89
• Salary Frequency: Hourly
• Salary Grade: 235
• Payroll Title: ACCESS REPR PRN
• Number of Positions: 1
• Appointment Type: Career
• Percentage of Time: 100%
• Shift Hours: 08
• Location: UCDHAS Building
• Union Representation: EX
• Benefits Eligible: Yes
• Hybrid/Remote/On-Site: Training period will be full time onsite (3-6 months). Then can choose to do a hybrid schedule for one month then full time WFH with the exception of 2 days per month required onsite.
  Shift – M-F, can choose a start time between 6:30am-8am.

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis Health 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 our handy Benefits Summary 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.
• Paid time off for professional development 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

• UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff

Special Requirements

• This position is a critical position and subject to a background check and drug screen. Employment is contingent upon successful completion of background investigation including criminal history, identity checks and drug screen.
• As a condition of employment, you will be required to comply with the University of California Policy on Vaccination Programs, as may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.

Diversity, Equity, Inclusion and Belonging

At UC Davis, we’re solving life’s most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don’t just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds, and you belong here. As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected. The University of California, Davis is an Equal Opportunity/Affirmative Action 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.

For the University of California’s Affirmative Action Policy please visit: https://policy.ucop.edu/doc/4010393/PPSM-20.

For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination.

Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don’t meet all the requirements? We still encourage you to apply! #YouBelongHere #CA-DF