University of California San Francisco
Practice Coordinator Auth Rep 2
University of California San Francisco, San Francisco, California, United States, 94199
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.
Position Overview
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 a basic understanding of healthcare terminology, processes and workflow and healthcare billing/authorizations in order to make good decisions and resolve account issues.
Responsibilities
This position will also be responsible for performing detailed review of medical record documentation to answer billing/authorization level questions.Responsible for working assigned authorization and billing work queues (WQs) on a daily basis to assist in keeping the denials at a minimum.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.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.Works closely with others and is flexible in dealing with 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.
Impact
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.
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Position Overview
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 a basic understanding of healthcare terminology, processes and workflow and healthcare billing/authorizations in order to make good decisions and resolve account issues.
Responsibilities
This position will also be responsible for performing detailed review of medical record documentation to answer billing/authorization level questions.Responsible for working assigned authorization and billing work queues (WQs) on a daily basis to assist in keeping the denials at a minimum.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.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.Works closely with others and is flexible in dealing with 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.
Impact
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.
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