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UCSF
San Francisco, CA, United States (on-site)
10 days ago
Bryan Health
Lincoln, NE, United States (on-site)
30+ days ago
UCSF
San Francisco, California, United States (on-site)
10 days ago

Description

Job Summary
The Service Line Specialist serves as the key liaison and subject matter expert for assigned service line areas regarding all aspects of charge capture/charge description master processes. This position also has a broad understanding of all areas of the revenue cycle; including Patient Financial Services (PFS), Health Information Management (HIM), and Reimbursement Services. This position will lead, support, and coordinate ongoing charge capture improvement initiatives for assigned service line areas; including charge reconciliation activities, new service implementation, and identification of revenue management opportunities. The Service Line Specialist will coordinate all Revenue Integrity activities on behalf of assigned service line areas; department charge capture education, charge audit activities, charge description master management, and monitoring of charge capture-related metrics.
The Revenue Management Department takes a multidisciplinary approach in the revenue cycle to aid in properly capturing charges and ensures accurate billing for clinical services rendered to patients across the enterprise. The department incorporates compliance and privacy practices, leverages automation and technology, and applies effective processes and internal controls that continually result in root cause correction and process improvements.


Requirements

Required Qualifications
  • Bachelor's degree in a related area and/or equivalent experience or training.
  • Three or more years of experience in clinical charge capture, charge description master, coding, government/third-party reimbursement, or similar healthcare experience
  • Thorough knowledge of the practices, procedures, and concepts of the healthcare revenue cycle, specifically revenue integrity, and it's component operations, including billing, coding, collections, charge capture, contractual adjustments, third-party reimbursements, and compliance.
  • Experience in managing and/or developing charge description master or charge capture processes, policies, and/or procedures.
  • Knowledgeable in the use and application of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and Revenue codes.
  • Thorough understanding of the issues, processes, reporting instruments, metrics, analytics, and other tools and techniques involved with measuring and analyzing the revenue cycle.
  • Detail-oriented, with proven ability to effectively manage time, see tasks and projects through to completion, organize competing priorities, and effectively address complex, urgent issues as they arise.
  • Strong skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management. Skills in a common database, spreadsheet, and presentation software.
  • Strong communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations.
Preferred Qualifications
Master’s degree in a related area
License/Certification
Licenses (preferred): Clinical License (Nurse, Technician, etc.)

Certifications (preferred):
  • Coding (e.g. RHIA, CCS, etc.).
  • Epic
About UCSF
At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

Job Information

  • Job ID: 66895860
  • Workplace Type: On-Site
  • Location:
    San Francisco, California, United States
  • Company Name For Job: UCSF
  • Position Title: Service Line Specialist
  • Industry: HIM Specialty Setting
  • Job Function: Information Systems
  • Job Type: Full-Time
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