Practice Coordinator Auth Rep 2
FPO Prior Authorization Unit 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. 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 basic understanding of healthcare terminology, processes and workflow and
healthcare billing/authorizations in order to make good decisions and resolve account issues.
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 Authorization Coordinator 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 as well as billing 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 and insurance companies to maximize unit efficiency. The PC is required to work at any UCSF
campus as needed and scheduled.
The final salary and offer components are subject to additional approvals based on UC policy. To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (ucop.edu) Please note: The compensation ranges listed online for roles not covered by a bargaining unit agreement are very wide, however a job offer will typically fall in the range of 80% - 120% of the established mid-point. An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html 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 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.
* Ability to analyze situations, prioritizes, and develops solutions and makes recommendations.
* Ability to work with minimal supervision
* Ability to use good judgment and work independently at times under the pressure of deadlines
* Ability to access situations prioritizes workload, develop solutions and make recommendations.
* Excellent customer service and communication/interpersonal skills, both over the telephone and
directly.
* Able to sit at a computer terminal with telephone headphones for extended periods of time.
* Basic math skills required.
* Proven ability to deal with a wide variety of individuals.
* Ability to deal sensitively and effectively with patients.
* Excellent organizational and problem-solving skills.
* Strong writing skills to include the ability to compose, edit, and proof a wide variety of documents.
* Demonstrated administrative/office coordination skills.
* Demonstrated knowledge of medical practice terminology.
* Within 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
o Complete basic to moderately complex authorizations independently
o Work applicable work queues
o Right Fax
o Use of the Authorization/Certification Table
o Ensure they have access to all Payer websites and can utilize all proficiently
o Efficiently obtain authorizations within or exceeding productivity requirements
o Review and verify benefits as needed, update in Apex
o New message
o Route authorization queries to practice (My Chart)
o Patient Schedule (My Chart)
o Letters
o Pools
o Patient look up
o Comment field
o Quick note
o Scanning Preferred Qualifications * Demonstrated 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.
* Prior experience with appointment, ancillary service or surgical scheduling or a combination of all
three.
* 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 - a promise we share with the professionals who make up our team.
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. 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 - also known as our PRIDE values.
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 diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide. 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. Job Code and Payroll Title 004819 PRACTICE CRD 2 Job Category Administrative Support Bargaining Unit Teamsters Local 2010 - Clerical and Allied Services Unit (CX) Additional Shift Details Monday - Friday |
University of California - San Francisco Campus and Health
Nov 25, 2024