Assistant Director, PFS, Government - HB Patient Financial Services - FT Days

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center , a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center , high-risk perinatal / neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center , gold level 1 geriatric emergency department and regional burn center . UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Your Role on the Team

Position Summary :

Responsible for planning, directing and overseeing all aspects of assigned Patient Financial Services units, including, but not limited to, governmental Accounts Receivables and Collections (Medicare and Medi-Cal), and Federally Qualified Healthcare Center (FQHC). Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies. Incumbent has overall responsibility for training, unit performance, resolution of operational and personnel issues, evaluations, hiring, and disciplinary action. Participates on organizational performance improvement projects. Serves as a role model and resource to colleagues, staff, and others. Interacts with all levels within the organization, including senior leaders, managers, directors as well as insurance companies, Medicare, Medi-Cal, CalOptima, and MSI at a management level.

What It Takes to be Successful

Required Qualifications :

• Thorough knowledge of healthcare billing, finance and compliance and strong understanding of facility billing systems.
• Sound understanding of Joint Commission and other applicable regulatory requirements to be able to monitor for compliance
• Self- directed and organized with superior analytical and problem-solving skills.
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must have experience in working with government payers, performing split billing as required by Payers and DOFRs.
• Minimum 7 - 10 years' experience in hospital patient account services.
• Minimum 5 years in a leadership / managerial position in a revenue based, health care related industry such as admissions, registration, billing / payor or contracting.
• Knowledge of Medicare / Medi-Cal billing procedures.
• Extensive knowledge of governmental compliance rules and issues as it pertains to health care billing, collection and other reimbursement.
• Excellent written and verbal communication skills in English
• Detailed understanding of billing technical elements such as standard forms and data elements, coordination of benefit and third party liability billing and collection, electronic billing, data edit programs, reimbursement methodologies such as Diagnosis Related Groups (DRGs), Case Rate, Percent of Charges, capitation.
• Demonstrated experience building competency and developing skills of others
• Bachelor's degree in Health Care Management, Business, Finance or Accounting or an equivalent combination of education and experience
• Ability to motivate staff to achieve desired results
• Ability to maintain a work pace appropriate to the workload

Preferred Qualifications :

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits .

Conditions of Employment :

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment :

Exercise the utmost discretion in managing sensitive information learned in the course of performing their duties. Sensitive information includes but is not limited to employee and student records, health and patient records, financial data, strategic plans, proprietary information, and any other sensitive or non-public information learned during the course and scope of employment. Understands that sensitive information should be shared on a limited basis and actively takes steps to limit access to sensitive information to individuals who have legitimate business need to know. Ensure that sensitive information is properly safeguarded. Follow all organizational policies and laws on data protection and privacy. This includes secure handling of physical and digital records and proper usage of IT systems to prevent data leaks. The unauthorized or improper disclosure of confidential work-related information obtained from any source on any work-related matter is a violation of these expectations.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

Details of each policy may be reviewed by visiting the following page : https : / / hr.uci.edu / new-hire / conditions-of-employment.php

Closing Statement :

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy .

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8 : 30 a.m. - 5 : 00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization