POSITION: Authorization Coordinator START DATE: ASAP END DATE: 13 weeks LOCATION: 6200 Greenwich Dr. San Diego CA, 8a-430p, M-F This is an AFSCME position at UCSD and must abide by certain labor and pay regulations. The minimum required pay for this role is .86 Job Description: *This position is strictly authorization submittals to insurance companies for scheduled services* UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. The Authorizations Coordinator involves patient, third party, government, physician billing and / or collections activities. Provides for coordinated processes, procedures, and systems, customer service delivery models and ensures compliance with internal policy and external agency regulations. Manages insurance reimbursement from third-party billings and government insurance programs. Keeps abreast of the full array of third-party contracts and billing / collections requirements. Incorporates cash posting, accounts receivable management and financial counseling for securing collections of accounts. Investigates highly complex claims, evaluates alternative funding sources for patients in need, and proposes procedures and systems to support efficient workflows and reimbursement maximization. Obtain insurance authorizations for oncology treatments. Provide financial counseling to patients. Manage Drug Assistance Programs from foundations and pharmaceutical companies. Minimum Requirements:
• Seven (7) years of related experience, education/training, OR a Bachelor's degree in related area plus three (3) years of related experience/training.
• Experience and proven success in billing and/or collections processes, concepts, systems, and external regulations.
• Thorough knowledge of medical terminology and coding.
• Working knowledge of healthcare and insurance authorization process.
• Thorough knowledge of the appeals and denied claims process.
• Excellent telephone etiquette and ability to work with a diverse interdisciplinary team.
• Proficiency skilled in Microsoft Word, PowerPoint, Excel, Outlook, etc. Preferred Requirements:
• Strong technical computer skills, such as supporting other staff and helping with troubleshooting.
• Experience in billing and collecting claims to commercial and government insurance companies for hospital contracts related to oncology services.
• Bilingual: English/Spanish.
• Epic.
• Revenue cycle workflow experience in an oncology setting.

Shifts: Day (5x8 Hours) 8:00 17:00

Job Priority: MSP

Facility: Non-Clinical - UC San Diego Health - Medical Offices South - WBP

Location: San Diego , CA , 92103