University of California - San Francisco Campus and Health
Principal Admitting Worker - Financial Counselor / Pre-Authorization Radiology
University of California - San Francisco Campus and Health, San Francisco, California, United States, 94199
Principal Admitting Worker - Financial Counselor / Pre-Authorization Radiology
Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements.PreAccess
Full Time
Job Summary
The Pre-Authorization Radiology (PAR) Principal Admitting Worker - Authorization and Financial Counselor is generally assigned to one primary work area within the Pre-Access Unit, but may rotate or be assigned to any area or site within the Patient Access Department as outlined in departmental expectations. With the primary assignment area being the PAR, the primary responsibility for the representative is obtaining authorizations for radiology exams/services by working with ordering physician's office staff, the applicable Medical Center ancillary department, and/or review organization(s) as required. In general, the Authorization / Financial Counselor is responsible for all spectrums of financially securing the insurance and authorization data for patients' services with insurance coverage that are primarily handled by the PAR Unit. The responsibilities include:
Verifying basic demographic and clinical information relevant to the patient's radiology exam/services
Verifying insurance eligibility and benefits
Securing authorization from third party payers (and/or their designated review organizations)
Properly notating all activity in APeX
Required Qualifications
High school diploma or GED required.
Two (2) years experience at the Admitting Worker or comparable level.
Proficiency in health insurance eligibility and authorization requirements.
Proficiency in reimbursement financial policies.
Knowledge of government program regulations, Medi-Cal, Medicare, MIA, C.C.S., and other third-party payors.
Ability to problem solve; ability to analyze data and recommend changes.
Must have strong customer service skills.
Ability to work collaboratively with a culturally diverse staff and patient/family population.
Ability to work independently with minimum supervision.
Admissions, Discharge and Transfer work experience.
Knowledge of office machines; typing 30 wpm and basic PC skills.
Basic Medical Terminology knowledge.
Excellent Oral/Written Communication.
Preferred Qualifications
Bilingual capability a plus.
About UCSF
At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care.
Equal Employment Opportunity
The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Organization: Health
Job Code and Payroll Title: 009031 ADMITTING WORKER PRN
Job Category: Accounting / Finance, Administrative Support, Financial, Support Services
Bargaining Unit: American Federation of State, County and Municipal Employees - Patient Care Technical Unit (AFSCME-EX)
Employee Class: Career
Percentage: 100%
Location: Emeryville, CA
Shift: Days
Shift Length: 8 Hours
Additional Shift Details: M-F
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Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements.PreAccess
Full Time
Job Summary
The Pre-Authorization Radiology (PAR) Principal Admitting Worker - Authorization and Financial Counselor is generally assigned to one primary work area within the Pre-Access Unit, but may rotate or be assigned to any area or site within the Patient Access Department as outlined in departmental expectations. With the primary assignment area being the PAR, the primary responsibility for the representative is obtaining authorizations for radiology exams/services by working with ordering physician's office staff, the applicable Medical Center ancillary department, and/or review organization(s) as required. In general, the Authorization / Financial Counselor is responsible for all spectrums of financially securing the insurance and authorization data for patients' services with insurance coverage that are primarily handled by the PAR Unit. The responsibilities include:
Verifying basic demographic and clinical information relevant to the patient's radiology exam/services
Verifying insurance eligibility and benefits
Securing authorization from third party payers (and/or their designated review organizations)
Properly notating all activity in APeX
Required Qualifications
High school diploma or GED required.
Two (2) years experience at the Admitting Worker or comparable level.
Proficiency in health insurance eligibility and authorization requirements.
Proficiency in reimbursement financial policies.
Knowledge of government program regulations, Medi-Cal, Medicare, MIA, C.C.S., and other third-party payors.
Ability to problem solve; ability to analyze data and recommend changes.
Must have strong customer service skills.
Ability to work collaboratively with a culturally diverse staff and patient/family population.
Ability to work independently with minimum supervision.
Admissions, Discharge and Transfer work experience.
Knowledge of office machines; typing 30 wpm and basic PC skills.
Basic Medical Terminology knowledge.
Excellent Oral/Written Communication.
Preferred Qualifications
Bilingual capability a plus.
About UCSF
At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care.
Equal Employment Opportunity
The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Organization: Health
Job Code and Payroll Title: 009031 ADMITTING WORKER PRN
Job Category: Accounting / Finance, Administrative Support, Financial, Support Services
Bargaining Unit: American Federation of State, County and Municipal Employees - Patient Care Technical Unit (AFSCME-EX)
Employee Class: Career
Percentage: 100%
Location: Emeryville, CA
Shift: Days
Shift Length: 8 Hours
Additional Shift Details: M-F
#J-18808-Ljbffr