Admitting Worker / Pre-Authorization Radiology

UCSF Health, AG
Emeryville, California, US
Full-time
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Admitting Worker - Financial Counselor / Pre-Authorization Radiology

Job Summary

Find out more about this role by reading the information below, then apply to be considered.

The Pre-Authorization Radiology (PAR) Authorization and Financial Counselor is generally assigned to one primary work area within the Pre-Access Unit, but may rotate or be assigned to any area or site within the Patient Access Department as outlined in departmental expectations.

The primary responsibility is obtaining authorizations for radiology exams / services by working with ordering physician’s office staff, the applicable Medical Center ancillary department, and / or review organization(s) as required.

Responsibilities include :

  • Verifying basic demographic and clinical information relevant to the patient’s radiology exam / services.
  • Verifying insurance eligibility and benefits.
  • Securing authorization from third party payers (and / or their designated review organizations).
  • Properly notating all activity in APeX.

Required Qualifications

  • High school diploma or GED required.
  • Two (2) years experience at the Admitting Worker or comparable level.
  • Proficiency in health insurance eligibility and authorization requirements.
  • Proficiency in reimbursement financial policies.
  • Knowledge of government program regulations, Medi-Cal, Medicare, MIA, C.C.S., and other third-party payors.
  • Ability to problem solve; ability to analyze data and recommend changes.
  • Strong customer service skills.
  • Ability to work collaboratively with a culturally diverse staff and patient / family population.
  • Ability to work independently with minimum supervision.
  • Admissions, Discharge and Transfer work experience.
  • Knowledge of office machines; typing 30 wpm and basic PC skills.
  • Basic Medical Terminology knowledge.
  • Excellent Oral / Written Communication.

Preferred Qualifications

Bilingual capability a plus.

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology, and pioneering research is redefining what’s possible for the patients we serve.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report, UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity / Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

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5 days ago
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