Updated: Aug 10, 2023
Location: Orange
Job Type:
Department: Patient Financial Services

UC Title: PAT BILL AND COLL MGR 1

Position Number: 41017685

Reports to: Dir, Patient Financial Svcs

Working Title: Asst Director, Commercial

Cost Center: Patient Financial Services (428550)

Bargaining Unit: No Bargaining Unit

FLSA: Exempt

Date Created: 8/09/2023

Job Code: 006583

Hours: 40

Shift: Not Applicable

FTE: 1

Position Summary:

Responsible for planning, directing, and managing all aspects of Accounts Receivables management for the Patient Financial Services department; including commercial, managed care, workers compensation, ERISA, self-funded and all other indemnity health plans. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies. Participates on organizational performance improvement projects. Analyze denial trends and publish organizational reports to improve first pass yield. Incumbent has overall responsibility for training, unit performance, resolution of operational and personnel issues, evaluations, hiring, and disciplinary action. Serves as a role model and resource to colleagues, staff, and others. Interacts with all levels within the organization, including senior leaders, managers, directors as well as insurance companies, third party payers, vendors, and regulatory agencies.

Total Compensation

In addition to the salary range listed below, 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 (https://www.hr.uci.edu/partnership/totalrewards/compensation.php) and

Benefits (https://careersucirvine.ttcportals.com/pages/benefits). 

Salary Range:

Annual RateMinimum$90,500.00Midpoint$130,100.00Maximum$169,700.00

Core Organizational Functions:

ACCOUNTABILITY: Responsible for the achievements and success of UC Irvine Health. Follows through and meets commitments; accountable for own actions and supportive of colleagues; presents self in appearance and actions in a manner that conveys professionalism and pride in area of responsibility;projects a positive presence and ensures that work related or personal frustrations are kept separate from patient care and professional activities; takes responsibility for problems and solutions;follows existing policies and procedures.

RESPECT: Foster an environment of mutual respect and trust among ourselves and with all whom we serve. Is always compassionate and empathetic for both patients and team members;makes eye contact, smiles and or greets every individual using the individual’s name, if known; treats all guests and co-workers with the utmost respect, dignity, courtesy and respects their confidentiality; arrives to meetings on time; keeps personal conversations with other employees offstage, out of earshot of patients and visitors.

INTEGRITY: Tells the truth and strives to earn the trust of those around us. Takes pride in their work, being honest and accountable in their words and actions; meets or exceeds department defined service expectations; makes the right decision in the best interest of UC Irvine Health.

INNOVATION: Seeks ideas and approaches that can change the way the world discovers, teaches and heals. Approaches work creatively and continuously looks for new and flexible ways to solve problems; encourages and implements ideas to improve safety, customer service and operational performance; works to create efficient and effective systems so thattime is not spent repeating and fixing problems; initiates and supports change.

SERVICE: Collaborates to effectively and compassionately serve our patients, each other and the community. Anticipates customer’s needs; maintains a calm, quiet, healing environment;accepts assignments graciously and carries out duties with pride;recognizes that every individual has an area of expertise and his/her contribution is valuable;keeps patients, families, customers and team members informed about time, thanks the person for waiting, and apologizes for delays.

EXCELLENCE: Committed to achieving the highest level of excellence in patient care, discovery and education. Demonstrates pride; practices humility; embraces greatness;encourages and praises others for work well done;learns to grow developing self and others personally and professionally; isaccurate and strives for excellence; creates a positive and productive work climate.

Required Qualifications:

Ability to motivate staff to achieve desired results

Sound understanding of Joint Commission and other applicable regulatory requirements to be able to monitor for compliance

Ability to maintain a work pace appropriate to the workload

Excellent written and verbal communication skills in English

Demonstrated experience building competency and developing skills of others

Must have experience in working with contracts, applying terms and conditions to claims and performing split billing as required by Contracted Payers and DOFRs.

Working knowledge of billing commercial claims, workers compensation, managed care and all other third party payers.

Detailed understanding of billing technical elements such as standard forms and data elements, coordination of benefit and third party liability billing and collection, electronic billing, data edit programs, reimbursement methodologies such as Diagnosis Related Groups (DRGs), Case Rate, Percent of Charges, capitation.

Thorough knowledge of healthcare billing, finance and compliance and strong understanding of facility billing systems.

Extensive knowledge of governmental compliance rules and issues as it pertains to health care billing, collection and other reimbursement.

Self- directed and organized with superior analytical and problem-solving skills.

Five (5) years' experience in a revenue based, health care related industry such as admissions, registration, billing/collections or contracting

Five (5) years' experience in management of Patient Financial Services

Experience in PFS Operations in an Academic Medical Center organization or complex teaching environment

Working knowledge of billing, follow up and denial management of commercial claims, workers compensation, managed care and all other third party payers.

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

Bachelor's Degree in related field

Preferred Qualifications:

Master’s degree in Health Care Management, Business, Finance or Accounting

Experience in PFS Operations, University and medical center organizations, policies, procedures and forms

Prior management experience of union-represented staff

Knowledge of University and medical center organizations, policies, procedures and forms

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

·Legal Right to Work in the United States

·Vaccination Policies

·Smoking and Tobacco Policy

·Drug Free Environment

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, Irvine 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.

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 [email protected] or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.