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UCSF Health · 2 months ago

Authorization Coordinator (Practice Coordinator 2)

San Francisco, CA

Full-time

Onsite

Mid Level

4+ years exp

UCSF Health is a leading healthcare organization focused on innovative patient care and research. The PC Authorization Coordinator is responsible for securing financial clearance for patients and providers, working closely with various teams to support practice operations and ensure efficient authorization processes. This role requires excellent customer service skills and the ability to manage multiple tasks effectively.

BiotechnologyEducationHealth CareHospitalMedical

Responsibilities

Securing financial clearance for the patient, provider and health system

Working closely with the administrative, clinical and management teams to support practice operations and customer service recovery and intervention efforts

Providing support for financial clearance functions including authorizations, PAFRs, LOAs billing and RFIs

Resolving billing related issues in APeX (Epic) to help maximize payor reimbursement and RVU charge capture

Performing detailed review of medical record documentation to answer billing/authorization level questions

Working assigned authorization and billing work queues (WQs) on a daily basis to assist in keeping the denials at a minimum

Maintaining all routine clerical operations and communications

Adhering to the UCSF House and Telephone Standards and being sensitive to the needs of patients, staff and providers at all times

Working closely with others and being flexible in dealing with changing priorities

Synthesizing knowledge of practice operations as well as billing operations to problem-solve, prioritize and facilitate complex transactions

Qualification

Healthcare terminologyEPICAuthorization processesCustomer serviceOffice softwareBilingual capabilityProblem-solvingOrganizational skillsCommunication skills

Required

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). 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: Complete basic to moderately complex authorizations independently, Work applicable work queues, Ensure they have access to all Payer websites and can utilize all proficiently, Efficiently obtain authorizations within or exceeding productivity requirements, Review and verify benefits as needed, update in Apex

Preferred

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