Only the job description changed.
| Previous Job Description | Current Job Description | ||||
|---|---|---|---|---|---|
| n | 1 | Job Description: | n | 1 | Job Summary |
| 2 | 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 a | ||||
| > | nd staff that are committed to the values of professionalism, respect, integrity, diversity, and exc | ||||
| > | ellence 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 c | ||||
| > | ustomer service recovery and intervention efforts. Provides support for financial clearance function | ||||
| > | s 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 advanc | ||||
| > | ed understanding of healthcare terminology, processes and workflow and healthcare billing/authorizat | ||||
| > | ions in order to make good decisions and resolve account issues. The incumbent should also have outs | ||||
| > | tanding 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 bas | ||||
| > | is to assist in keeping the denials at a minimum. He/she must have the ability to prioritize multipl | ||||
| > | e 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 op | ||||
| > | erations and communications. Adheres to the UCSF House and Telephone Standards and is sensitive to t | ||||
| > | he needs of patients, staff and providers at all times. The PC is a team player who works closely wi | ||||
| > | th others and who is flexible in dealing with the changing priorities. Requires a self-reliant indiv | ||||
| > | idual who synthesizes knowledge of practice operations in order to problem-solve, prioritize and fac | ||||
| > | ilitate 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 ensur | ||||
| > | ing 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. | ||||
| 3 | 2 | ||||
| t | 4 | Qualifications: | t | 3 | 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 o | ||||
| > | f collaboration, excellence, leadership, and respect. UCSF Medical Center seeks faculty and staff th | ||||
| > | at are committed to the values of professionalism, respect, integrity, diversity, and excellence tha | ||||
| > | t are integral to our mission. | ||||
| 5 | Required Qualifications - High School graduate or equivalent with four years related experience; or | 4 | |||
| > | college degree and 6 months related experience; or equivalent combination of education and experienc | ||||
| > | e. - Successfully passes fingerprinting protocol and is approved to be a cash collector if applicabl | ||||
| > | e. - Strong computer skills, including basic keyboarding skills, and experience with at least two Of | ||||
| > | fice-type software programs (i.e., Outlook, Word and Excel). Proven ability to navigate through mult | ||||
| > | iple patient records systems. Able to sit at a computer terminal with telephone headphones for exten | ||||
| > | ded period of time. - Ability to analyze situations, prioritizes, and develops solutions and makes r | ||||
| > | ecommendations. - Ability to work with minimal supervision - Ability to use good judgment and work i | ||||
| > | ndependently, at times under the pressure of deadlines - Ability to access situations prioritizes wo | ||||
| > | rkload, develop solutions and make recommendations. - Excellent customer service and communication/i | ||||
| > | nterpersonal 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 t | ||||
| > | o deal with a wide variety of individuals; - Ability to deal sensitively and effectively with patien | ||||
| > | ts. - Excellent organizational and problem-solving skills. - Strong writing skills to include the ab | ||||
| > | ility to compose, edit, and proof a wide variety of documents. - Demonstrated administrative/office | ||||
| > | coordination skills. - Demonstrated knowledge of medical practice terminology. - Within six months o | ||||
| > | f start date, based upon completion of training, the Supervisor, completes the proficiency checklist | ||||
| > | with the employee. This includes the following areas if applicable - Referrals (Incoming referral e | ||||
| > | ntry) and handling all referral WQs - Schedule surgeries - Work applicable work queues - Enter/edit | ||||
| > | outside test results - Messaging (CRM) if applicable - 2nd calls in CRM if applicable - Telephone en | ||||
| > | counters - My open encounter - Staff message - New message - Route Patient advice request to provide | ||||
| > | rs (My Chart) - Patient Schedule (My Chart) - Letters - Pools - Patient look up - Check in process - | ||||
| > | Check out process - Comment field - Quick note - Scanning Preferred Qualifications - Demonstrated e | ||||
| > | xperience 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 a | ||||
| > | ll three. - Bi-lingual or multi-lingual capability (Spanish, Cantonese, and Russian) strongly prefer | ||||
| > | red. - Prior experience with EPIC. | ||||
| 5 | 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, clinica | ||||
| > | l and management teams to support practice operations and customer service recovery and intervention | ||||
| > | efforts. Provides support for financial clearance functions including authorizations, PAFRs, LOAs b | ||||
| > | illing and RFIs. | ||||
| 6 | |||||
| 7 | Under the direction of the Revenue Manager and/or supervisor, the biller/auth rep will work indepen | ||||
| > | dently 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, pro | ||||
| > | fessional appearance, organizational skills, and communication skills (oral and written). | ||||
| 8 | |||||
| 9 | This position will also be responsible for performing detailed review of medical record documentati | ||||
| > | on to answer billing/authorization level questions and will be responsible for working assigned auth | ||||
| > | orization and billing work queues (WQs) on a daily basis to assist in keeping the denials at a minim | ||||
| > | um. He/she must have the ability to prioritize multiple tasks and work well with all levels of staff | ||||
| > | ing including faculty, management, and coworkers both within and outside of the unit. | ||||
| 10 | |||||
| 11 | The PC is responsible for the maintenance of all routine clerical operations and communications. Ad | ||||
| > | heres 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 i | ||||
| > | n 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. | ||||
| 12 | |||||
| 13 | This position makes a difference for patients in an outpatient care unit by providing excellent cus | ||||
| > | tomer service, facilitating and ensuring the accuracy of the information flow between medical, hospi | ||||
| > | tal staff and departments to maximize unit efficiency. The PC is required to work at any UCSF campus | ||||
| > | as needed and scheduled. | ||||