Home Infusion Biller

#CA-KN

The Home Infusion Biller ensures timely and accurate billing and processing of home infusion medical and pharmacy claims. This includes edit resolution, patient demographic analysis and correction, authorization/referral review and claim attachments. Under general supervision, applies acquired skills and professional concepts of healthcare billing and reimbursement to execute all stages of revenue cycle workflow for home infusion. Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes to include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections. May also be responsible for / integrated with business office operations. The Home infusion biller may also follow-up on claims with Commercial and Government payors to ensure maximum reimbursement based on payor contracts and/or regulations.

Apply By Date: 7/20/2026 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

• Previous billing experience in a health care environment.
• Skills in data management and analysis.
• Billing and accounts receivable experience, analysis/management experience.
• Sound decision-making and ability to set and achieve goals.
• Financial analysis and research skills to report accounts receivable, revenue and billing practices, incidents and outcomes.
• Ability to manage multiple assignments through prioritizing tasks and managing time.
• Ability to exercise independent judgment and personal initiative and accept responsibility for decision and actions.
• Ability to produce high quality deliverables and perform at high level with minimal direction.
• Ability to recognize the need for and maintain security of confidential information; exercise judgment, tact and discretion in handling sensitive and/or confidential information or situations.
• Demonstrates highly effective interpersonal, communication, and change management skills and ability to communicate technical information to technical and non-technical personnel at various levels in the organization.
• Interpersonal and communications skills to work with both technical and non-technical personnel at various levels in the organization. Establishes and maintains positive and productive working relationships.* Proficient in office automation software (MS Office: Word, Excel, PowerPoint, etc.)
• Experience in managing and analyzing billing and accounts receivable processes.
• Knowledge of billing codes including CPT, HCPCS, REVENUE CODES & ICD10.
• Possesses broad job knowledge to independently perform the full range of responsibilities.
• Ability to manage a heavy workload with frequently changing priorities and tight deadlines.
• Detail oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
• Manages insurance reimbursement from third-party billings and government insurance programs. Keeps abreast of the full array of third-party contracts and billing/collections requirements.
• Demonstrates good verbal and written communication skills; documents and reports clearly and concisely. Conveys instructions, directions, and information appropriately.
• Applies acquired skills to collaborate in gathering data, identifying trends, and performing financial analysis of technical charging, coding, billing, claims and denials.
• Demonstrated interpersonal skills to work effectively in a team environment with internal staff in a wide variety of business and clinical areas. Readily assists co-workers.
• Knowledge of external department resources to effectively respond to inquiries.
• Maintains appropriate interdepartmental communications.
• Ensures compliance with internal policy and external agency regulations.
• Proficiency in common database, spreadsheet and presentation software (eg; Word, Excel, Outlook)
• Ability to accurately add, subtract, multiply and divide whole and decimal numbers, using a calculator.

Preferred Qualifications

• Bachelor's degree in related area and/or equivalent experience/training.
• Home infusion billing and/or revenue cycle experience
• Experience with Medicare CMS billing guidelines
• Experience in billing hospital facility claims
• Pharmacy billing experience (NCPDP D.0)
• Revenue cycle experience in EPIC.
• Knowledge of home infusion billing and reimbursement procedures for Commercial/Managed Care and or Governmental programs.
• Knowledge of UCDH accounts receivable systems and online eligibility systems to research and update accounts accordingly.

Key Responsibilities

• 30% - Billing/Rebilling Complex Accounts
• 25% - Auditing/Adjusting/Reconciliation
• 20% - Research
• 15% - Denials/Appeal/Payor Requests
• 10% - Special Projects/Misc

Department Overview

UC Davis Health is a nationally recognized leader in the provision of high-quality, patient-centered care, based in the Greater Sacramento area of Northern California. UC Davis Health has a Comprehensive Cancer Center, internationally recognized MIND Institute, and a nationally ranked pediatric hospital. The UC Davis acute care hospital has 646 beds and an ambulatory care service area spanning north to the Oregon border, east to Nevada, and down the Central Valley to Fresno, California, covering 65,000 square miles across 33 counties.

The Department of Pharmacy is a dynamic, integral, and critical part of patient care provided by UC Davis Health. As a department of greater than 600 professional, technical, and administrative support personnel, we focus on providing patient-centered medication management that optimizes outcomes through practice, education, research, and leadership through the continuum of care. We also have the largest pharmacy residency program in the country with 46 total residents in 13 different programs.

The Department of Pharmacy offers comprehensive pharmaceutical services (unit dose, IV admixtures, clinical services, infusion pumps, and teaching) throughout the health system complex 24 hours a day, 7 days a week. The pharmacy services encompass inpatient pharmacy services as well as an expansive footprint in the ambulatory care space where we have clinical pharmacists embedded within our clinics and specialty care locations. Our operational teams support the health system enterprise with three inpatient pharmacies, five outpatient pharmacies, two infusion pharmacies, a home infusion service line, and the full complement of pharmacy purchasing, stores, and distribution.

UCDH Home Infusion is a new department aimed at bringing advanced infusion care to patients in the comfort of their homes. Our purpose and values are centered from a patient-driven perspective and in partnership with physicians and other providers. The department prides itself on its delivery of user-friendly home infusion care for all patients, caregivers, and members of the health care team.

POSITION INFORMATION

• Salary or Pay Range: $28.90 - $35.92
• Salary Frequency: Hourly
• Salary Grade: 101
• UC Job Title: PAT BILLER 3
• UC Job Code: 004663
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): 8 hours, Monday-Friday
• Location: Pharmacy Shared Service Center (BLDG108)
• Union Representation: EX-Patient Care Technical
• Benefits Eligible: Yes
• This position is hybrid (mix of on-site and remote work)

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