Practice Coordinator III

UCSF•Emeryville, CA

3d•$34 - $49•Hybrid

About The Position

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 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, 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 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 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 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 to maximize unit efficiency. The PC is required to work at any UCSF campus as needed and scheduled.

Requirements

Advanced understanding of healthcare terminology, processes and workflow.
Advanced understanding of healthcare billing/authorizations.
Outstanding people skills, including telephone technique.
Professional appearance.
Organizational skills.
Communication skills (oral and written).
Ability to prioritize multiple tasks.
Ability to work well with all levels of staffing including faculty, management, and coworkers both within and outside of the unit.
Flexibility in dealing with changing priorities.
Self-reliant individual who synthesizes knowledge of practice operations.

Nice To Haves

Experience with APeX (Epic).

Responsibilities

Securing financial clearance for the patient, provider, and health system.
Supporting 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.
Being sensitive to the needs of patients, staff and providers at all times.
Problem-solving, prioritizing and facilitating complex transactions in the course of daily activities.
Providing excellent customer service.
Facilitating and ensuring the accuracy of the information flow between medical, hospital staff and departments to maximize unit efficiency.
Working at any UCSF campus as needed and scheduled.