EDI Unit Assistant III

UCSFEmeryville, CA, United States

16 hours ago

Job type

Full-time

Job description

EDI Unit Assistant III

The Assistant III position in the EDI unit is responsible for all aspects of EDI production for UCSF Health Patient Financial Services (PFS), Medical Group Business Services (MGBS), UCSF Benioff Children's Hospital Oakland (BCH Oakland), By the Bay Health, UCSF Physicians Group, Community Connect clinic, and Community Hospitals. The EDI production supports all electronic claim production to various payers and clearinghouses, including Medicare, Medi-Cal, Medi-Cal MC, Anthem Blue Cross, Blue Shield, Availity, Optum IEDI, Optum Exchange, Jopari, PNT, and Office Ally. Electronic claim generation represents approximately 95% of all claims production. Monthly claims volume processed can reach up to 150 thousand claims for hospital billing and up to 400 thousand claims for professional billing. The position also supports the Electronic Remittance Advice (ERA) processes for UCSF, MGBS, LPPHC, BCH Oakland, BTBH, UC Physician Group, Community Connect Partners, and Community Connect Hospitals. In addition, this position also supports Electronic Funds Transfer (EFT) processes for UCSF, MGBS, BCH Oakland, LPPHC, UCPG, and Community Hospitals. The ERA / EFT processes represent approximately 80% of all inbound payment transactions to all supported service areas. Frequent contact with all units in Patient Financial Services and other billing groups, as well as outside entities, such as Health Plans and EDI Clearing Houses, which partner with UCSF in EDI processes. Frequent access to the following applications : EPIC / APeX, Wells Fargo CEO portal, Clearinghouse EDI portals, ApplicationXtender, Cirius' Billing and Remittance Applications, and various payer sites.

The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The hourly salary range for this position is $31.22-$44.69. To learn more about the benefits of working at UCSF, including total compensation, please visit :

$31.22-$44.69

To learn more about the benefits of working at UCSF, including total compensation, please visit :

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Required Qualifications

High school graduate or GED certificate.

One year EDI / ERA experience in a hospital billing office or vendor environment handing 837I, 837P and 835 file types.

An in-depth understanding of all aspects of electronic billing.

Knowledge of insurance billing requirements, UB04 and HCFA 1500 claim forms.

Good analytical and organizational skills, interpersonal, verbal, and written communication skills.

Experience in computer operations, particularly file management and FTP processes.

Knowledge of electronic billing systems (i.e., UGS on-line system, Cirius Prebill and Remittance Manager, etc.)

Basic knowledge of the EPIC (ApEX) systems

Ability to follow directions and written procedures.

Must be a motivated individual with a positive attitude and exceptional work ethic.

Maintain a working knowledge of copy and fax machines.

Superior knowledge of Microsoft Excel and Access required.

Basic knowledge of FTP functions.

Computer software skills (i.e. Microsoft Applications and E-mail, etc.).

Knowledge of the mandated HIPAA regulations for security, PHI and confidentiality is essential.

The ability to work onsite Emeryville when required.

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