FPO Prior Authorization Unit
Full Time
82004BR
Job Summary
As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research, and education.
The PC Authorization Coordinator is primarily responsible for securing financial clearance for the patient, provider, and health system.
The coordinator works closely with the administrative, clinical, and management teams to support practice operations and customer service recovery and intervention efforts.
Provides support for financial clearance functions including authorizations, PAFRs, LOAs billing, and RFIs. Under the direction of the Revenue Manager and / or supervisor, the biller / auth rep will work independently to resolve billing-related issues in APeX (Epic) to help maximize payor reimbursement and RVU charge capture.
The incumbent should have an advanced understanding of healthcare terminology, processes, and workflow, as well as healthcare billing / authorizations to resolve account issues effectively.
This position requires outstanding people skills, including telephone technique, professional appearance, organizational skills, and communication skills (oral and written).
The PC is responsible for performing detailed reviews of medical record documentation to answer billing / authorization level questions and will work assigned authorization and billing work queues (WQs) daily to minimize denials.
The PC is responsible for maintaining all routine clerical operations and communications, adhering to UCSF House and Telephone Standards, and being sensitive to the needs of patients, staff, and providers at all times.
This position requires a self-reliant individual who synthesizes knowledge of practice operations to problem-solve, prioritize, and facilitate complex transactions.
The PC must work at any UCSF campus as needed and scheduled.
If you are interested in applying for this job, please make sure you meet the following requirements as listed below.
Salary Information
The salary range for this position is $31.91 - $45.70 (Hourly Rate).
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF.
To learn more about the benefits of working at UCSF, including total compensation, please visit : UCSF Benefits
Required Qualifications
High School graduate or equivalent with four years related experience; or college degree and 6 months related experience;
or equivalent combination of education and experience.
- Successfully passes fingerprinting protocol and is approved to be a cash collector if applicable.
- Strong computer skills, including basic keyboarding skills, and experience with at least two Office-type software programs (i.
e., Outlook, Word, and Excel).
- Ability to analyze situations, prioritize, and develop solutions and recommendations.
- Ability to work with minimal supervision.
- Excellent customer service and communication / interpersonal skills.
- Basic math skills required.
- Proven ability to deal with a wide variety of individuals.
- Demonstrated knowledge of medical practice terminology.
Preferred Qualifications
- Demonstrated experience in health care (may include medical, dental, or veterinary) in patient scheduling, insurance verification, or patient financial services.
- Bi-lingual or multi-lingual capability (Spanish, Cantonese, and Russian) strongly preferred.
- Prior experience with EPIC.
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.
UCSF Health is committed to providing the most rewarding work experience while delivering the best care available.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity, and excellence.
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.
Organization : Health
Job Code and Payroll Title : 004818 PRACTICE CRD 3
Job Category : Administrative Support
Bargaining Unit : Teamsters Local 2010 - Clerical and Allied Services Unit (CX)
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