Assistant Director, Patient Financial Services, Government - FT Days
University of California, Irvine
2024-11-08 15:44:46
Anaheim, California, United States
Job type: fulltime
Job industry: Banking & Financial Services
Job description
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 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 , and American College of Surgeons-verified , and . 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
Responsibilities:
Position Summary:
Responsible for planning, directing and overseeing all aspects of assigned Patient Financial Services units, including, but not limited to, governmental Accounts Receivables and Collections (Medicare and Medi-Cal), and Federally Qualified Healthcare Center (FQHC). Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies. Incumbent has overall responsibility for training, unit performance, resolution of operational and personnel issues, evaluations, hiring, and disciplinary action. Participates on organizational performance improvement projects. Serves as a role model and resource to colleagues, staff, and others. Interacts with all levels within the organization, including senior leaders, managers, directors as well as insurance companies, Medicare, Medi-Cal, CalOptima, and MSI at a management level.
Qualifications:
Total Compensation
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our and .
Required Qualifications:
Thorough knowledge of healthcare billing, finance and compliance and strong understanding of facility billing systems.
Sound understanding of Joint Commission and other applicable regulatory requirements to be able to monitor for compliance
Self- directed and organized with superior analytical and problem-solving skills.
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Must have experience in working with government payers, performing split billing as required by Payers and DOFRs.
Minimum 7 - 10 years' experience in hospital patient account services.
Minimum 5 years in a leadership/managerial position in a revenue based, health care related industry such as admissions, registration, billing/payor or contracting.
Knowledge of Medicare/Medi-Cal billing procedures.
Extensive knowledge of governmental compliance rules and issues as it pertains to health care billing, collection and other reimbursement.
Excellent written and verbal communication skills in English
Detailed understanding of billing technical elements such as standard forms and data elements, coordination of benefit and third party liability billing and collection, electronic billing, data edit programs, reimbursement methodologies such as Diagnosis Related Groups (DRGs), Case Rate, Percent of Charges, capitation.
Demonstrated experience building competency and developing skills of others
Bachelor's degree in Health Care Management, Business, Finance or Accounting or an equivalent combination of education and experience
Ability to motivate staff to achieve desired results
Ability to maintain a work pace appropriate to the workload
Preferred Qualifications:
Master's degree in Health Care Management, Business, Finance or Accounting
Knowledge of University and medical center organizations, policies, procedures and forms
Experience in PFS Operations, University and medical center organizations, policies, procedures and forms
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:
Closing Statement:
The University of California, Irvine is an . 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 .
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 or at (phone number removed), Monday - Friday from 8:30 a.m. - 5:00 p.m.