UCI Health · 3 months ago
Reimbursement HC Analyst 3-HB Patient Financial Services-FT-Day
Anaheim, California
Full-time
Hybrid
Mid, Senior Level
$79K/yr - $143K/yr
5+ years expUCI Health is the clinical enterprise of the University of California, Irvine, and is the only academic health system based in Orange County. They are seeking a Reimbursement HC Analyst 3 to serve as a liaison between Patient Financial Services and legal business partners in managing and resolving claims and disputes, while also identifying trends and assisting in resolution.
Health CareHospitalMedical
Responsibilities
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
Qualification
Required
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
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
Company
UCI Health
UCI Health offers acute and general care services specializing in treating urology, gynecology, kidney disorders, and cancer programs.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Manlin Kitty Huang Lin, MS, CPA
Director of Finance/ CFO
Nate Shinagawa MHA, FACHE
Chief Operating Officer and Senior Vice President
Recent News
Precedence Research
2025-11-27
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