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Clinical Affairs Analyst (billing and practice operations)
CLINICAL AFFAIRS ANALYST (BILLING AND PRACTICE OPERATIONS)
8AM - 5PM
$35,700 - $53,000
Responsible for supporting the administrative and operational needs of the UCR school of medicine faculty/physician practices. Supports all the basic operational aspects of the physician practices as related to patient registration, scheduling, eligibility and benefit verifications and securing authorizations. Additionally, this position will facilitate, coordinate and manage the transmission of all billing encounters and associated coding functions for the medical group. The incumbent in this position will also perform analysis and report on billing trends, denials and payment variances. Must have the ability to perform and prioritize multiple tasks, and work well with internal and external resources. Additionally, strong internal and external communication skills are essential to this position. Please note: Job requires local travel between UCR practice sites at affiliate institutions on a very regular basis.
Bachelor's degree in related area and/or equivalent experience/training.
0 years of related experience.
Experience with IDX.
Familiarity/experience with practice management and billing information systems.
Prior customer service experience, particularly with physicians and patients in a medical office setting.
Minimum of 4 years experience in a clinical setting, preferably a doctor's office or other outpatient group practice
Ability to adapt to changing priorities.
Basic knowledge and understanding of internal control practices and their impact on protecting University resources.
Proficiency in the use of spreadsheet and database software.
Basic knowledge of financial data management and reporting system
Interpersonal skills; service orientation; active listening; critical thinking; attention to detail, ability to multi-task in a high volume environment, effective verbal and written communication skills, organizational skills.
Basic knowledge of financial or accounting concepts, processes and procedures.
Ability to function effectively as a member of a team.
Knowledge of policies and procedures for clinical operations and basic billing practices. Understanding of third party payor networks and managed care processes for the local market. Basic knowledge of CPT coding and clinical documentation requirements.
Proficiency in Microsoft Office applications, Word, Excel, PowerPoint, Access, and internet resources.
Ability to research and analyze data. Ability to work independently with minimal supervision. Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization. Ability to organize and prioritize work and manage multiple priorities in a high volume, demanding environment.
Knowledge of clinical practice operations in a multispecialty setting.
In the Heart of Inland Southern California, UC Riverside is located on nearly 1,200 acres near Box Springs Mountain in Southern California; the park-like campus provides convenient access to the vibrant and growing Inland region. The campus is a living laboratory for the exploration of issues critical to growing communities' air, water, energy, transportation, politics, the arts, history and culture. UCR gives every student the resources to explore, engage, imagine and excel.
At UC Riverside we celebrate diversity and are proud of our #12 ranking among the nation for most diverse universities (US News and World Report 2013-2014). Become part of a place that fosters success for all its constituents, students, faculty, and staff, and where work/life balance and campus culture are integral to our way of life.
UCR is ranked 55th among top public universities (US News and World Report 2013-2014).
The University of California is an Equal Opportunity/Affirmative Action Employer with a strong institutional commitment to the achievement of excellence and diversity among its faculty and staff. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law.
For information about our generous employee benefits package, visit: Employee Benefits Overview
JOB DESCRIPTION DETAILS
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