Position Summary: The HB Quality Review Coordinator serves as a resource to staff in handling and troubleshooting difficult accounts, monitoring workflow, monitoring productivity and identifying underlying AR issues. Makes recommendations for resolving issues in all areas of billing/collections for Patient Financial Services and Single Billing Office and serves as a department-wide training resource. Incumbent is responsible for ensuring that quality standards are monitored and reviewed throughout the various units. Develops and implements training programs for all staff performing billing, follow-up and denial activities based on the department's needs and usage. Performs weekly assigned audits and prepares audit findings to supervisors and managers, identifies opportunities for additional training needs to ensure staff can complete their assigned duties in an expedient and accurate manner. Performs other duties as assigned.
Rate Minimum $57,400.00 Maximum $97,300.00
Required Qualifications: 3 years' experience in an acute hospital based billing and collections departmentAbility and experience with database development, spreadsheets, to implement effective and efficient internal programs and processes.Ability to analyze and resolve complex problemsAbility to establish and maintain effective working relationships across the HealthSystemAbility to maintain a work pace appropriate to the workloadExcellent written and verbal communication skills in EnglishKnowledge of CPT, HCPCS and ICD-10 coding, authorization requirements and related documentationKnowledge of basic software programs, such as Excel, Word and AccessMinimum 3 years' experience in medical billing and/or clinical customer service and handling patient account issuesMust demonstrate customer service skills appropriate to the jobMust possess the skill, knowledge and ability essential to the successful performance of assigned dutiesProficient in Commercial, Medicare and Medi-Cal billing and claims processing with sound knowledge of respective rules, regulations and compliance guidelinesStrong leadership and interpersonal skills
Preferred Qualifications: 2 years' experience as a lead and/or project managementEPIC Certification in Resolute Hospital Bill AdministrationKnowledge of University and Medical Center organizations, policies, procedures and forms
Physical, Mental & Environmental Demands:To comply with the Rehabilitation Act of 1973 the essential physical, mental and environmental requirements for this job are listed below. These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.
Since 1965, the University of California, Irvine has combined the strengths of a major research university with the bounty of an incomparable Southern California location. UCI's unyielding commitment to rigorous academics, cutting-edge research, and leadership and character development makes the campus a driving force for innovation and discovery that serves our local, national and global communities.