Legal Liason - HB Patient Financial Services - FT Days

at  UNIVERSITY OF CALIFORNIA IRVINE

Overview:
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
To learn more about UCI Health, visit www.ucihealth.org.
Responsibilities:

POSITION SUMMARY:

Serves as liaison between Patient Financial Services UC Irvine Health and legal business partners in the investigation, management, resolution and defense of claims, appeals, arbitrations or any other form of disputes up to and including legal proceedings. The duties vary including support of matters in pre-litigation and active litigation. Other legal work involves management of subpoenas, court appearances, mediations and trial appearances. This incumbent exhibits advanced knowledge of contract terms and conditions, serves as denial specialist and acts as a resource to other staff dealing with difficult accounts requiring troubleshooting assistance. Responsible for identifying trends by the payers and UCI, assisting in the resolution as appropriate.
Qualifications:

REQUIRED QUALIFICATIONS:

• Skilled at using computerized systems and applications to maintain/update patient accounting information
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Minimum 5 years’ experience acute hospital billing and collections, contract interpretation and claim denial resolution
• Good math skills to perform a variety of calculations related to patient accounting
• Excellent written and verbal communication skills in English
• Excellent communication skills to effectively interact with PFS staff, leaders of the organization, payers, patients and their families and the external community
• Effective data and numerical data entry skills
• Demonstrated experience in CPT, HCPC and ICD billing codes, authorization requirements and related documentation
• Advanced knowledge of revenue cycle processes gained from previous related work experience in a healthcare setting
• Advanced knowledge of a variety of non-governmental and governmental payers
• Ability to think critically and problem solve independently and/or collaboratively as the situation dictates
• Ability to resolve routine and non-routine errors independently and to assist others in problem solving
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System

PREFERRED QUALIFICATIONS:

• Prior reimbursement analyst experience
• Legal or paralegal training(CPHRM)
• Knowledge of University and Medical Center organizations, policies, procedures and forms
• Bachelor’s Degree in Business, Finance, or related field, or an equivalent combination of education and experience
  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. 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 eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m

Please refer the Job description for details