Principal Access Representative

#CA-DS

This position is directly responsible for the following activities related to the completion of registration, insurance eligibility, benefit, and authorizations, securing sponsorship and completion of applications for County, State, and Federal funding programs successfully.

Activities required in this position are reception, registration, insurance verification, payor notification, authorization verification, securing sponsorship, education patients or family members on various programs (Medi-Cal, Medicare, County Medically Indigent Services, Victims of Violent Crime and other financial assistance linkages), completing applications for assistance programs, making appropriate referrals/notifications, collecting payments/co-pays/deductibles and assuring all avenues of reimbursement or assistance are pursued to guarantee payment for uninsurance/under insured patients.

Apply By Date

5/8/2025 at 11:59pm

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position.

• Working knowledge of eligibility, authorization and utilization review requirements related to Federal, State and County sponsored programs including but not limited to Medicare, Medi-Cal, CMISP, California Children Services, Champus, HMO, PPO and managed care groups.
• Skill in analyzing a variety of factors regarding eligibility, third party payors, authorization and benefit limits to determine the need for further facts or administrative consultation.
• Skill in interviewing individuals from diverse cultural backgrounds including, listening perceptively, identifying and clarifying financial problem areas, interacting effectively with a variety of behaviors including fear, grieving, hostility and non-cooperation, ensuring that the individuals clearly understand their rights and financial options.
• Working knowledge of on line registration, verification and authorization procedures.
• Ability to evaluate and continuously reprioritize workload to ensure financial security is maintained and payor timelines are met
• Skill to quickly assimilate and retain a large body of financial information.
• Skill in writing concise, grammatically correct online correspondence. Legible handwriting to complete correspondence, forms and folder notes.
• Calculate percentages and perform mathematical functions to estimate balances.
• Working knowledge of medical terminology, anatomy, ICD-10 and CPT coding.
• Documented experience using the following computer applications: EPIC, Microsoft word, Microsoft Outlook, Excel, Internet (for insurance web sites, UCDHS policy and procedure updates).
• Ability to learn Departmental Finance Database applications.
• Oral communication skills to clearly convey and obtain information from patients, families, attorneys, and payors.
• Knowledge of HMO/PPO/EPO/FFS, Federal/State/County programs and third party payor eligibility /authorization processes to ensure timely reimbursement.
• Skill in reading and understanding a variety of administrative policies, insurance plans, procedures and guidelines.
• Ability to develop and maintain cooperative working relationships with payors, clinical/medical staff, professional/hospital billing staff and other hospital member.
• Problem solving skills to independently recognize and define a problem; identify resources available to assist in solving the problem; create and implement viable solutions, and follow through to ensure a problem is resolved to the satisfaction of all parties involved.
• Ability to apply HIPAA guidelines appropriately when working with payors, families, departmental staff and other outside entities.
• Interpersonal skills to establish and maintain a friendly, welcoming environment; demonstrate an interested, understanding, compassionate and caring manner, to maintain a courteous and calm demeanor, and to use a pro-active approach to negotiate a resolution acceptable to all parties.

Key Responsibilities

• 80% - Financial Coordination
• 15% - Communication & Networking
• 5% - Team Work & Support

Department Overview

The sections of Inpatient/Outpatient Access and Financial Counseling each with its own functions and subspecialties works together to coordinate financial security for inpatient/outpatients receiving care of UC Davis Health System. The unit is called the Financial Clearance Unit.

POSITION INFORMATION

• Salary or Pay Range: $29.75 - $36.97
• Salary Frequency: Hourly
• Salary Grade: 235
• UC Job Title: ACCESS REPR PRN
• UC Job Code: 009099
• Number of Positions: 6
• Appointment Type: Staff: Career
• Percentage of Time: 100
• Shift (Work Schedule): M-F 6:30am-3pm
• Location: UCDHAS Building (HSP165)
• Union Representation: EX-Patient Care Technical
• Benefits Eligible: Yes
• This position is 100% on-site
• 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
* UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Continuous 6 to 8+ 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 - Continuous 6 to 8+ Hours

Environmental Demands

• Loud noise levels - Occasional Up to 3 Hours

Mental Demands

• Sustained attention and concentration - Continuous 6 to 8+ Hours
• Complex problem solving/reasoning - Frequent 3 to 6 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.

Must be available in the event of a disaster. Must be willing and able to work occasional overtime.

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
• The duties or functions of this position include the handling of cash (or cash equivalents)
• 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