Reimbursement HC Analyst 1

#CA-KN

The GR Analyst 1 is responsible for assisting with provider enrollment for individual providers, physician groups, and UCDH facilities across government and UCDH-contracted payors, including Medicare, Medi-Cal, CCS, out-of-state Medicaid, Railroad Medicare, and others. Under supervision, this role ensures the timely and accurate submission of enrollment applications in alignment with current federal, state, and departmental requirements.
Key responsibilities include coordinating the preparation and submission of enrollment documentation, resolving enrollment denials in Epic WQs, tracking application progress, and serving as a primary liaison with payors to obtain necessary provider and group identifiers for billing purposes. The analyst will also assist in monitoring suspended charge reports, validate PTAN and group linkage accuracy, obtain necessary documentation for new enrollment approvals, and work to release charges for billing.
This role requires accurate maintenance of provider records in Epic. The analyst is expected to work semi-independently on issues with guidance and supervision, demonstrating analytical skills, initiative in researching issues as they arise, and knowledge of enrollment guidelines to ensure compliance and accuracy across all processes. The analyst is expected to independently carry out a full range of enrollment duties from start to finish with some guidance.

Apply By Date: 4/2/2026 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

• Bachelor's degree in related area or equivalent experience and/or training.
• Previous experience in a relevant field required.
• Skills in data management and analysis.
• Billing and accounts receivable experience, analysis 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 judgment and personal initiative and accept responsibility for decision and actions.
• Ability to produce high quality deliverables and perform well with supervision and guidance.
• 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 ability to communicate some 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 supporting and analyzing billing and accounts receivable processes.
• Knowledge of billing codes including CPT, HCPCS, REVENUE CODES & ICD10.
• Knowledge of home infusion billing and reimbursement procedures for Commercial/Managed Care and or Governmental programs
• Possesses broad job knowledge to independently perform the full range of responsibilities.
• Knowledge of UCDH accounts receivable systems and online eligibility systems to research and update accounts accordingly.
• 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.
• Assists with 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.
• Relies on experience and sound judgment to plan and accomplish goals independently, with creativity in developing enrollment tools, process improvements, electronic enrollment systems.
• Ability to prioritize workload, meet deadlines, and efficiently manage multiple projects while providing clear, accurate documentation, requesting guidance as necessary.
• Skilled in planning, setting objectives, developing procedures, implementing systems, and maintaining organized, logical, and readable documentation and records

Preferred Qualifications

• Provider enrollment experience
• One year of relevant experience preferred.

Key Responsibilities

• 50% - Provider Enrollment/Certification
• 25% - Contracted Payer/Health Plan Announcements/Roster Maintenance and Management
• 5% - User Security
• 10% - Systems, Reporting & Work Queue (WQ) Management
• 5% - Special Enrollment Projects
• 5% - Personal and Professional Growth

Department Overview

UC Davis Health is a premier academic health system in Sacramento, California, ranked as the #1 hospital in the region and among the top 2% of hospitals nationwide. It includes a 625-bed teaching hospital, top-tier medical and nursing schools, and a 1,000-member physician group serving 33 counties. Provider Enrollment, under Government Reimbursement, is responsible for managing provider enrollment for individual providers, physician groups, and UCDH facilities across government and UCDH-contracted payors, including Medicare, Medi-Cal, CCS, out-of-state Medicaid, Railroad Medicare, and others. This role ensures the timely and accurate submission of enrollment applications in alignment with current federal, state, and departmental requirements.

POSITION INFORMATION

• Salary or Pay Range: $28.16 - $48.47
• Salary Frequency: Hourly
• Salary Grade: Grade 19
• UC Job Title: REIMB HC ANL 1
• UC Job Code: 006771
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): 8 am - 5 pm
• Location: UCDHAS Building (HSP165)
• Union Representation: 99 - Non-Represented (PPSM)
• 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