Patient Billing and Collection Representative 3

This position is responsible for the management of all complex billing, analysis, and revenue/billing reporting for the Department of Radiation Oncology for all technical and net professional revenues annually. The position will serve as compliance officer to ensure all federal regulations and policy and procedures are adhered to with respect to auditing, billing, coding, and documentation of compliant medical necessity. In depth knowledge of clinical operations and front-end patient registration is required. This position will provide short- and long-term analytical support to the chief administrative officer (CAO), finance manager and chair for hospital and professional billing to forecast revenue for budget planning and provide recommendations for budget and revenue changes. This position will directly supervise daily billing operations for the coding and therapy billing units and will review, audit and recommend revisions to department billing policy and procedures as needed. This position will determine methods, best practices, priorities, timetables and monitor for optimal gross and net revenue generation results weekly, monthly and annually and will exercise initiative, originality, and judgment in applying established billing principals under general direction by the CAO and chair.

This position will also serve for the Department of Radiology as a billing analyst liaison for professional revenue and provide analysis and feedback to faculty and chair on revisions to billing policy and procedures, evaluate best practices, CPT codes and provide analytical support and updates on coding practices to prepare for any budget and revenue changes that may impact school of medicine revenue. #CA-SB

Apply By Date 7/17/2025 by 11:59pm

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• One of the following two certifications are required: AAPC OR CCS-P. Including in-depth knowledge of Radiation Oncology coding and billing or ROCC certification.
• Bachelor's degree in related area and/or equivalent experience/training.
• At least 5 years of coding experience.
• Knowledge of and experience with ICD-10 diagnosis, CPT & HCPCS Level II.
• Advanced experience with and knowledge of ICD-10 CDM and CPT HCPCS classification system used in professional and hospital billing.
• Must have experience as a hands-on biller and collections expert to properly analyze and review accounts and work queues.
• Must be knowledgeable of state and federal billing guidelines, CPT, RBRVS, HCPCS, and ICD-10 codes and their application.
• Must be able to analyze, interpret and apply Medicare, MediCal and third-party payor insurance guidelines.
• Comprehensive knowledge of medical diagnostic (including E & M procedures) and radiology and radiation oncology terminology.
• Knowledge of local, state and federal regulations and professional and hospital billing.
• Analytical skills to effectively comprehend complex network, administrative and fiscal information; and ability to absorb such information to make timely and thoughtful decisions, recommendations and communicate orally and in writing.
• Must have advanced knowledge of professional and hospital billing and reimbursement requirements for all payors and university systems (Epic, MOSAIQ).
• Ability to manage time schedules, deadlines, multiple requests and priorities as well as maintain productivity. Ability to independently conduct research, perform quantitative analyses and develop recommendations for process improvements. Must be able to exhibit tact and diplomacy when dealing with faculty, staff, UC Davis Health personnel and patients. Must have the ability to relate to management and fellow employees in a congenial and professional manner to resolve and clarify problems and/or questions related to job assignments and the work environment. Ability to use computer programs including the MicroSoft Suite, SharePoint to effectively perform job duties.

Preferred Qualifications

• Knowledge of UC Davis Health policies and procedures.

Key Responsibilities

• 60% - Billing Management, Compliance, Analytical Support, and Supervision
• 20% - Data Quality Assurance and Revenue Generation
• 10% - Billing Operations, Research and Quality Improvement
• 5% - Back-up Coverage
• 5% - Other duties as assigned

Department Overview

The Departments of Radiation Oncology and Radiology serve over 70 clinical faculty, staff physicians and physicists. Each department is responsible for the administrative functions of both departments including School of Medicine finance, human resources, residency and fellow education, medical student and other observerships and faculty support. It is the responsibility of this particular team to manage all aspects of the School of Medicine enterprise at the direction of the respective chairs and work towards the missions of academia: patient care, education, research and teaching.

POSITION INFORMATION

• Salary or Pay Range: $2,375.48 - $4,176.25
• Salary Frequency: Bi-weekly
• Annual Salary: $62,000 - $109,000
• Salary Grade: Grade 20
• UC Job Title: PAT BILL AND COLL REPR 3
• UC Job Code: 004543
• Number of Positions: 2
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): 8.0
• Location: Cancer Center (HSP093)
• Union Representation: No, 99 - Non-Represented (PPSM)
• Benefits Eligible: Yes
• This position is hybrid (mix of on-site and remote work)
• This is not a H-1B visa opportunity

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis 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 either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees 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
* 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

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Occasional Up to 3 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

• UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements
• 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.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

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

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks