#CA-KN
The Transplant Billing and Follow-up representative who reports to the manager of Transplant PFS Team. Primary responsibilities include specialized bundle billing (UB04 and CMS 1500), donor services billing and assertive account follow-up with all transplant payers. Other responsibilities include identifying transplant recipient and donor relationships/encounters and monitoring pre/post and transplant event cases and calculating/reconciling case rate agreements. Managing both physician and hospital EPIC claim inventory in various work queue types. The representative must also be able to understand internal and external (i.e. payer) transplant and organ acquisition requirements throughout the revenue cycle (i.e. not only billing and payment guidelines). Additionally, this position supports all other departments for any transplant related inquiries.
Apply By Date: 11/6/2025 at 11:59 pm - Interviews and recruiting process may occur at any time
Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position.
- Several years of recent, advanced and demonstrated billing and collections experience in a health care environment.
- Billing and collections experience.
- Experience analyzing and interpreting various managed care contracts and government payer regulations to ensure compliance with the terms and conditions of the contract and/or regulations.
- Thorough understanding of all CMS1500 UB04 field requirements.
- Detail oriented, with demonstrated organizational skills and the skill to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
- Proficiency in common database, spreadsheet and presentation software (e.g. MS Word, Excel, Outlook)
- Experience to accurately add, subtract, multiply and divide whole and decimal numbers, using a calculator.
- Experience in typing with speed and accuracy.
- Demonstrated interpersonal skill to work effectively with internal and external staff in a wide variety of business and clinical areas.
- Demonstrates good verbal and written communication skills to documents and reports clearly and concisely; conveys instructions, directions, and information appropriately.
- Experience and skill to manage heavy workload with frequently changing priorities and tight deadlines.
Preferred Qualifications
- Hospital and professional specialty transplant billing and follow-up experience.
- Academic institution or large integrated health system experience.
- 60% - Transplant Billing and Collections
- 20% - Billing Liaison
- 15% - Special Projects
- 5% - Miscellaneous
Key Responsibilities
- 60% - Transplant Billing and Collections
- 20% - Billing Liaison
- 15% - Special Projects
- 5% - Miscellaneous
Department Overview
Patient Financial Services (PFS) manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments as well as internal operational and functional reporting and support related to hospital/facility billing. PFS ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services rendered. PFS impacts processes to include charge capture, coding, insurance identification, data/charge entry, registration, authorizations, billing, payment posting, refund processing and collections.
POSITION INFORMATION
- Salary or Pay Range: $31.24 - $38.82
- Salary Frequency: Hourly
- Salary Grade: 100
- UC Job Title: PAT BILLER 4
- UC Job Code: 004662
- Number of Positions: 1
- Appointment Type: Staff: Career
- Percentage of Time: 100%
- Shift (Work Schedule): M-F, 8 hour
- Location: UCDHAS Building (HSP165)
- Union Representation: EX-Patient Care Technical
- Benefits Eligible: Yes
- This position is hybrid (mix of on-site and remote work)
- THIS IS NOT AN HI-B OPPORTUNITY
Benefits
Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.
If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html
* High quality and low-cost medical plans to choose from to fit your family's needs
* UC pays for Dental and Vision insurance premiums for you and your family
* Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
* Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Access to free professional development courses and learning opportunities for personal and professional growth
* WorkLife and Wellness programs and resources
* On-site Employee Assistance Program including access to free mental health services
* Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
* Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
* Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here
Physical Demands
- Standing - Occasional Up to 3 Hours
- Walking - Occasional Up to 3 Hours
- Sitting - Frequent 3 to 6 Hours
- Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
- Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
- Bending/Stooping - Occasional Up to 3 Hours
- Squatting/Kneeling - Occasional Up to 3 Hours
- Twisting - Occasional Up to 3 Hours
- Reaching overhead - Occasional Up to 3 Hours
- Keyboard use/repetitive motion - Frequent 3 to 6 Hours
Mental Demands
- Sustained attention and concentration - Frequent 3 to 6 Hours
- Complex problem solving/reasoning - Occasional Up to 3 Hours
- Ability to organize & prioritize - Frequent 3 to 6 Hours
- Communication skills - Frequent 3 to 6 Hours
- Numerical skills - Occasional Up to 3 Hours
- Constant Interaction - Frequent 3 to 6 Hours
- Customer/Patient Contact - Frequent 3 to 6 Hours
- Multiple Concurrent Tasks - Frequent 3 to 6 Hours
Work Environment
UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.
Special Requirements - Please contact your recruiter with questions regarding which activities apply by position
- This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment.
- This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements.
- Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
A Culture of Opportunity and Belonging
At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.
As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.
To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination
Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere
To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks