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    Patient Financial Clearance Specialist - San Francisco, CA, United States - University of California - San Francisco Campus and Health

    University of California - San Francisco Campus and Health
    University of California - San Francisco Campus and Health San Francisco, CA, United States

    4 weeks ago

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    Description
    Patient Financial Clearance Specialist

    Full Time

    The incumbent is primarily responsible for securing financial clearance for clinical laboratory patients and referring healthcare organizations.

    The PC3 works closely with the lab's accessioning team to verify patient insurance eligibility and coverage for each case, communicates with insurance providers to obtain required authorizations or referrals, and documents essential billing information in the laboratory information management system.

    The incumbent ensures that accurate and complete medical billing information for each case is promptly submitted to the lab's medical billing agent.

    Under the general direction of the revenue cycle supervisor, the PC3 works independently to resolve payment issues with commercial and government sources that provide healthcare coverage through numerous types of health plans.

    The PC3 works with the lab's billing agent to rapidly fulfill requests for additional information (RAIs) for claims that cannot be filed.

    The PC3 acts quickly to resolve payer denial errors and takes corrective actions to reduce the occurrence of denials for preventable reasons such as incorrect demographic or plan information or no prior authorization.

    The PC3 responds to incoming billing inquiries from patients, referring medical practices, other diagnostic labs, health plan providers, and the lab's billing and collections agencies.

    The PC3 also works with the lab's clinical teams and physician providers to support practice operations and customer service activities.

    Additionally, the PC3 is responsible for the maintenance of all revenue cycle clerical tasks such as data entry or scanning, and for routine communications.

    The PC3 is a team player who works well with the other revenue cycle staff and with the Division's administrative staff, eg finance or marketing.

    The PC3 must have the ability to analyze and prioritize medical billing issues and to effectively communicate a wide variety of individuals, including patients, providers, and other clinicians.

    The final salary and offer components are subject to additional approvals based on UC policy.

    The compensation ranges listed online for roles not covered by a bargaining unit agreement are very wide, however a job offer will typically fall in the range of 80% - 120% of the established mid-point.

    For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range.

    Our educational programs include a research-intensive academic residency program and fellowships in cytopathology, dermatopathology, gastrointestinal and liver pathology, gynecologic pathology, neuropathology and surgical pathology.

    The Division processes approximately 180,000 cases per year and is responsible for the billing and collection of payments from hundreds of different third-party payers and organizational clients.

    High school graduate or equivalent with four years of work experience; or bachelor's degree with six months of work experience; Strong computer skills including intermediate proficiency with Microsoft Excel and Word
    Ability to sit at a computer terminal with telephone headphones for extended period of time
    Ability to prioritize case workload, solve billing problems, and meet service time standards
    Possess excellent communication skills including listening, observing, speaking, and writing
    Ability to complete assigned caseload efficiently and solve problems with minimal supervision
    Work experience at a University of California academic health center
    Work experience in a dermatology medical practice or pathology clinical lab
    Work experience in a medical billing environment or with a healthcare industry payer
    Knowledge of medical terminology and professional fee coding

    The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care.

    We bring together the world's leading experts in nearly every area of health. 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.

    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.

    Join us to find a rewarding career contributing to improving healthcare worldwide.


    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.

    Job Code and Payroll Title

    Administrative Support, Support Services

    Bargaining Unit

    Teamsters Local Clerical and Allied Services Unit (CX)

    Shift

    Shift Length

    Additional Shift Details

    Monday-Friday 8am-5pm

    #
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