Patient Services Representative 3 (MOSC 3) Job at UC Davis Health
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Participation in inpatient care for women of diverse backgrounds with comprehensive needs, including abortion services, is required.
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Recent experience in practices and protocols related to medical office procedures, (i.e. medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.).
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Knowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county funded coverage, and workers’ 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.
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Knowledge of ICD-9, CPT and HCPCS coding guidelines sufficient to accurately identify services performed, including diagnoses, procedures, and supplies.
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PC proficiency in using multiple computer system applications.
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Obstetrics and Gynecology experience.
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Training or equivalent experience in billing, authorizations, referrals, medical terminology, and comprehensive insurance plans and products.
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Recent experience with Epic or EMR.
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CPT/ICD-10/ MEDICAL Terminology/ referrals an d authorizations, and comprehensive knowledge of insurance plans and their differences. e.g. HMPO/PPO/POS etc.
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Must be willing to work variable days (including weekends), hours and locations as required to meet business needs of the practice.
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For positions with medical records responsibilities, duties require ability to retrieve and file bulky medical record charts (up to 3" thick) stored in filing cabinets and on shelves that may be above shoulder level and below waist level, and to efficiently transport multiple charts weighing 5 to 25 pounds throughout the medical office.
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This position may be subject to a criminal background investigation, drug screen, Live Scan fingerprinting, medical evaluation clearance, and functional capacity assessment.
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The University of California has implemented a SARS-CoV-2 (COVID-19) Vaccination Program SARS-CoV-2 Vaccination Policy (ucop.edu) covering all employees. To be compliant with the policy, employees must submit proof of vaccination or a University-approved exception or deferral.
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 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.
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