Southern California Permanente Medical Group (Kaiser Permanente)
Bakersfield, California
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Take on a significant role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health.
You will leverage your extensive theoretical revenue cycle knowledge as you take on a vast range of critical revenue issues. This will involve applying dashboards and processes for continuous analysis of complex revenue cycle functions while also auditing data input for all components of revenue cycle management. You will:
Analyze complex financial data
Identify trends in revenue cycle operations
Summarize data and present reports to leadership
Serve as liaison with departments to thoroughly define reporting and information requirements
Evaluate revenue cycle workflows to identify areas for improvement
Oversee charge integrity, reconciliation, and charge linkages from ancillary charging systems
Train patient financial services units on revenue cycle systems, processes and procedures
Maintain compliance with government regulations, reimbursement issues, etc.
Analyze hospital billing claims within the EHR and claim scrubber system
Resolve claim errors, edits, and other holds
Works with clinical and ancillary operational departments on correct coding, billing, and charging principles
Salary Range: $78,500 - $163,600 /annually
Qualifications
We’re seeking a highly analytical, detail-driven professional with:
Bachelor's degree in business, finance or related field, highly desired
CPC-H, CPC, or CCS coding certification, highly desired
Five or more years of experience with hospital billing systems and third-party billing requirements, preferred
Experience in revenue integrity operations, clinical charge capture, charge master, or revenue cycle operations
Proficiency with Microsoft Excel
Knowledge of Tableau Reporting dashboards
Understanding of Medicare/Medi-Cal claims processing guidelines
Experience with EPIC EHR, Cirius Claim Scrubber, or other EHR system
In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle
Strong analytical and problem-solving abilities
Excellent communication, interpersonal, and collaboration skills
Proficiency in the use of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and revenue codes
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.