University of the Pacific
Stockton, CA
RCM Specialist (Part Time) Primary Purpose: Oversees pre-date of service revenue cycle and medical billing functions for the University's two locations in San Francisco and Sacramento. Responsibilities include scheduling coordination, registration, insurance eligibility and benefits verification, payer participation, credentialing, authorizations, patient financial estimates, and collection of expected out-of-pocket amounts. Maintains a current payer matrix and applicable fee schedules and ensures patient responsibility is accurately identified. Coordinates with the outsourced billing/RCM vendor and monitors claims, A/R, denials, timely-filing risks, unworked claims, payments, and collections to ensure issues are identified and resolved. Serves as the primary liaison between the University, providers, patients, and the outsourced billing team. The position is ideally based in San Francisco and requires regular travel to Sacramento; as volume grows, the position may hire and...