Practice Coordinator Auth Rep 2

Practice Coordinator Auth Rep 2FPO Prior Authorization UnitFull TimeJob SummaryAs 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.Required QualificationsHigh 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). Proven ability to navigate through multiple patient records systems.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.Excellent customer service and communication/interpersonal skills, both over the telephone and directly.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.Preferred QualificationsDemonstrated 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.

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