PRACTICE CRD 3 - Full-time

divh3Job Summary/h3divpAs a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. UCSF Medical Center seeks faculty and staff that are committed to the values of professionalism, respect, integrity, diversity, and excellence that are integral to our mission. 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. He/she must have an advanced understanding of healthcare terminology, processes and workflow and healthcare billing/authorizations in order to make good decisions and resolve account issues. The incumbent should also have outstanding people skills, including telephone technique, professional appearance, organizational skills, and communication skills (oral and written). This position will also be responsible for performing detailed review of medical record documentation to answer billing/authorization level questions and will be responsible for working assigned authorization and billing work queues (WQs) on a daily basis to assist in keeping the denials at a minimum. He/she must have the ability to prioritize multiple tasks and work well with all levels of staffing including faculty, management, and coworkers both within and outside of the unit. The PC is responsible for the maintenance of all routine clerical operations and communications. Adheres to the UCSF House and Telephone Standards and is sensitive to the needs of patients, staff and providers at all times. The PC is a team player who works closely with others and who is flexible in dealing with the changing priorities. Requires a self-reliant individual who synthesizes knowledge of practice operations in order to problem-solve, prioritize and facilitate complex transactions in the course of daily activities. This position makes a difference for patients in an outpatient care unit by providing excellent customer service, facilitating and ensuring the accuracy of the information flow between medical, hospital staff and departments to maximize unit efficiency. The PC is required to work at any UCSF campus as needed and scheduled.brbrThe final salary and offer components are subject to additional approvals based on UC policy./ppYour 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. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement./ppThe salary range for this position is $31.91 - $45.70 (Hourly Rate)./ppTo learn more about the benefits of working at UCSF, including total compensation, please visit: a href="https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html"https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html/a/p/divh3Job Title/h3divAuthorization Coordinator (Practice Coord 3)/divh3Employee Class/h3divCareer/divh3Percentage/h3div100%/divh3Shift Length/h3div8 Hours /divh3Shift/h3divDays/divh3Additional Shift Details/h3divMonday - Friday/divh3Bargaining Unit/h3divTeamsters Local 2010 - Clerical and Allied Services Unit (CX) /divh3Job Category/h3divAdministrative Support/divh3Required Qualifications/h3divulli style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanHigh School graduate or equivalent with four years related experience; or college degree and 6 months related experience; or equivalent combination of education and experience. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanSuccessfully passes fingerprinting protocol and is approved to be a cash collector if applicable. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanStrong computer skills, including basic keyboarding skills, and experience with at least two Officetype software programs (i.e., Outlook, Word and Excel). Proven ability to navigate through multiple patient records systems. Able to sit at a computer terminal with telephone headphones for extended period of time. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanAbility to analyze situations, prioritizes, and develops solutions and makes recommendations. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanAbility to work with minimal supervision /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanAbility to use good judgment and work independently, at times under the pressure of deadlines /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanAbility to access situations prioritizes workload, develop solutions and make recommendations. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanExcellent customer service and communication/interpersonal skills, both over the telephone and directly./span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanAble to sit at a computer terminal with telephone headphones for extended periods of time. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanBasic math skills required. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanProven ability to deal with a wide variety of individuals. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanAbility to deal sensitively and effectively with patients. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanExcellent organizational and problem-solving skills. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanStrong writing skills to include the ability to compose, edit, and proof a wide variety of documents. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanDemonstrated administrative/office coordination skills./span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanDemonstrated knowledge of medical practice terminology. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanWithin six months of start date, based upon completion of training, the Supervisor, completes the proficiency checklist with the employee. This includes the following areas if applicable /span/span/span/span/li/ulul style="margin-bottom: 11px; list-style-type: circle"li style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanComplete moderate to complex authorization independently /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanWork applicable work queues /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanRight Fax /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanUse of Authorization/Certification Table /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanEnsure they have access to all Payer websites and can utilize all proficiently /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanEfficiently obtain authorizations within or exceeding productivity requirements /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanReview and verify benefits as needed; update in Apex /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanStaff message /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanRoute authorization queries to practice (My Chart) /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanPatient Schedule (My Chart) /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanLetters /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanPools /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanPatient look up /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanComment field /span/span/span/span/lili style="margin-left: 56px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanQuick note /span/span/span/span/lili style="margin-left: 56px; margin-bottom: 11px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanScanning /span/span/span/span/li/ul/divh3Preferred Qualifications/h3divul style="margin-bottom: 11px"li style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanDemonstrated experience in health care (may include medical, dental or veterinary) in the following areas: patient scheduling, insurance verification, medical record data abstraction, or patient financial services. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanPrior experience with appointment, ancillary service or surgical scheduling or a combination of all three. /span/span/span/span/lili style="margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanBi-lingual or multi-lingual capability (Spanish, Cantonese, and Russian) strongly preferred. /span/span/span/span/lili style="margin-bottom: 11px; margin-left: 8px"span style="font-size: 11pt"span style="line-height: 107%"span style="font-family: Aptos, sans-serif"spanPrior experience with EPIC./span/span/span/span/li/ul/divh3Position Type/h3divFull Time/divh3Department Name/h3divFPO Prior Authorization Unit/divh3Equal Employment Opportunity/h3divThe University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law./divh3About UCSF/h3divAt UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team. brbr 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. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents./divh3Pride Values/h3divUCSF 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 – also known as our PRIDE values. brbr In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at adiversity.ucsf.edu/a brbr Join us to find a rewarding career contributing to improving healthcare worldwide./divh3Location/h3divEmeryville, CA /divh3Work Style/h3divFully On-Site/div/div