Practice Coordinator III

UCSF•Emeryville, CA

3d•$34 - $49•Onsite

About The Position

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. 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.
Flexibility in dealing with changing priorities.
Self-reliant individual who synthesizes knowledge of practice operations.

Responsibilities

Securing financial clearance for the patient, provider, and health system.
Working closely with 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 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) daily to minimize denials.
Prioritizing multiple tasks and working well with all levels of staffing, including faculty, management, and coworkers.
Maintaining all routine clerical operations and communications.
Adhering to UCSF House and Telephone Standards.
Being sensitive to the needs of patients, staff, and providers.
Synthesizing knowledge of practice operations to problem-solve, prioritize, and facilitate complex transactions.
Providing excellent customer service to patients in an outpatient care unit.
Facilitating and ensuring the accuracy of information flow between medical, hospital staff, and departments.
Working at any UCSF campus as needed and scheduled.