Career Opportunities

Quality Review Analyst - Patient Financial Services - FT Days at Careers | UC Irvine Health - 13194

Updated: October 29, 2019
Job Family: Professional

Job Description & Salary Range

UC Title:                                     Trainer 3

Position Number:                      10008098

Reports to:                                 Dir, Patient Financial Svcs

Working Title:                            Trainer 3

Cost Center:                              Patient Financial Services (8550)

Bargaining Unit:                       None

FLSA:                                          Exempt

Job Code:                                  4163

Date Created:                            09/08/2019

Shift:                                           Day Shift

Hours:                                         40.00


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.


Salary Range: 


Rate    Minimum  $54,600.00    Maximum  $112,000.00


Required Qualifications:

2 years' experience as a trainer

5 years' experience in an acute hospital based billing and collections department, customer service and handling patient account issues

Ability and experience with database development, spreadsheets, to implement effective and efficient internal programs and processes.

Ability to analyze and resolve complex problems

Ability to establish and maintain effective working relationships across the HealthSystem

Ability to maintain a work pace appropriate to the workload

Excellent written and verbal communication skills in English

Experience leading a team and project management

Knowledge of CPT, HCPCS and ICD-10 coding, authorization requirements and related documentation

Knowledge of basic software programs, such as Excel, Word and Access

Must demonstrate customer service skills appropriate to the job

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Proficient in Commercial, Medicare and Medi-Cal billing and claims processing with sound knowledge of respective rules, regulations and compliance guidelines

Strong leadership and interpersonal skills


Preferred Qualifications:

2 years’ experience as a lead and/or project management

EPIC Certification in Resolute Hospital Bill Administration

Knowledge 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.





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