The Patient Services Representative 3 (MOSC 3) is responsible for sustaining an environment of intrinsic goodwill for the practice while providing optimum services to patients. This position requires the skills and ability to manage the level of responsibility and accountability necessary to provide specialized duties for the department/clinical team for which it is assigned.
This position may also perform front office duties consistent with that of Patient Services Representative 2 (MOSC 2), per operational needs.
Percentages of time allocated to functions in this position description are a guideline only. Individual assignments and time actually worked in each functional area may vary based on the department's operational needs.
This posting is a Transfer/Promotional opportunity for UCD/UCDHS Employees (internal candidates). Applications from current UCD/UCDHS employees will be considered first. Applications from the public/external candidates may be considered if an internal candidate is not selected as the most qualified applicant.
Apply By Date: January 18th, 2025 at 11:59 PM
Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position
High School / GED equivalent or related work experience
Experience with practices and protocols related to medical office and/or health care scheduling or insurance procedures, (i.e. medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)
Ability to accomplish a variety of concurrent assignments in an effective and efficient manner, demonstrating ability to organize, prioritize and complete assignments in a designated time frame
Ability to adjust to changing workload or assignments and pressures of increased workload or deadlines
Problem solving skills to independently define a problem identify the resources available to help solve the problem, create viable solutions and take the necessary action to implement problem resolution and ensure prompt and satisfactory resolution
Decision making skills to independently exercise delegated authority to take action and to appropriately seek assistance from others when limits of delegated authority have been reached
Interpersonal skills to establish and maintain effective working relationships with all co-workers; to consistently interact with patients and other members of the public with patience, courtesy and professionalism, both in person and on the telephone; and to effectively respond to individuals who may be angry or upset
Ability to efficiently use computer system applications for all functions required for this position, including electronic mail, spreadsheets, word processing, and medical office management, (i.e. scheduling, template maintenance, maintenance of demographic and insurance information)
Typing skills sufficient to use computer keyboard for timely and accurate input and production
Writing skills, using proper English grammar, spelling and punctuation, sufficient to compose messages and/or routine correspondence, which is clear, concise and easy to understand
Bookkeeping skills sufficient to maintain accurate records of patient financial transaction, prepare related financial reports, balance cash box, and prepare deposits
Organizing skills to establish priorities for own work within stated guidelines; respond flexibly to changes in priorities; and maintain work effectiveness in a setting with a high volume of patient activity and frequent interruptions
Filing skills to maintain logs and files of information in alphabetical, chronological and/or numerical order, such that it is current and easily retrievable
Knowledge of all pertinent laws, regulations, and guidelines governing medical records; confidentiality, privacy, and provision to others, including HIPAA
In depth knowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county funded coverage, and worker's compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients
Knowledge of ICD-10, CPT and HCPCS coding guidelines sufficient to accurately identify services performed, including diagnoses, procedures, and supplies
Knowledge and experience of practices and protocols related to medical office procedures, (i.e. medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)
Preferred Qualifications
Three (3) years of customer service experience and/or call center experience
Recent experience with EMR, such as EPIC, including In Basket and Work Queues
Training or equivalent recent experience in billing, authorizations, referrals, medical terminology, and comprehensive insurance plans and products
Recent experience in outpatient medical office
Experience working in a front office for a clinic, physician or health insurance company processing referrals or authorizations for patient services. Examples include scheduling, and ordering patient records to support diagnosis or medical necessity
Previous experience in the specialty of the Cardiology Outpatient services
Demonstrated knowledge of Health System and UCD policies and procedures, or ability to learn
Comprehension of University requisition systems, including those needed for ordering supplies and medical records
Key Responsibilities
50% - Coordination of Medical Office Services
50% - Additional Job Functions
Department Overview
The Cardiology Department is located on the Sacramento Campus and is responsible for providing comprehensive cardiology services to adult patients within the community.
POSITION INFORMATION
Salary or Pay Range: $28.06 - $34.89
Salary Frequency: Hourly
Salary Grade: 266
UC Job Title: MED OFC SVC CRD 3
UC Job Code: 009214
Number of Positions: 1
Appointment Type:Career
Percentage of Time: 100% Full-time
Shift Hours: Dayshift 08:00-17:00 (08 hours)
Location: Ellison Ambulatory Care Center, Sacramento, CA
Union Representation: EX-Patient Care Technical
Benefits Eligible: Yes
This position is 100% on-site
THIS IS NOT AN 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
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.
Must be willing to work overtime, variable days (including weekends), hours, and locations as required to meet business needs of the practice
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 successful completion of background check(s), including but not limited to criminal record history background check(s)
The duties or functions of this position include the handling of cash (or cash equivalents)
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.
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.
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-ZM
The University of California 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.
Copyright 2024 Jobelephant.com Inc. All rights reserved.
About University of California Davis Health System
UC Davis is the home of the Aggies — go-getters, change makers and problem solvers who make their mark at one of the top public universities in the United States. Since we first opened in 1908, we’ve been known for standout academics, sustainability and Aggie Pride as well as valuing the Northern California lifestyle. These themes are woven into our 100-plus-year history and our reputation for solving problems related to food, health, the environment and society.Our 5,300-acre campus is in the city of Davis, a vibrant college town of about 68,000 located in Yolo County. The state capital is 20 minutes away, and world-class destinations such as the San Francisco Bay Area, Lake Tahoe and the Napa Valley are within a two-hour drive.