UCSD Layoff from Career Appointment: Apply by 10/22/24 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 10/25/24. Eligible Special Selection clients should contact their Disability Counselor for assistance.
This is an internal posting open only to employees within the UC San Diego Health - La Jolla Admissions/Pat Access department
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.
Under the general guidance of the Access Manager, Patient Access Rep/HAIII; pre-registers, pre-admits, and admits patients by telephone and/or in person. Major duties include: efficiently collect accurate demographic information, review and interpret complex insurance benefits, obtaining prior authorizations, patient estimates, cash collections, interaction with public assistance programs (i.e., Medi-Cal, CCS) implementation of Medicare requirements, interaction with physicians/office personnel as well as other hospital personnel, units and departments, and referral of appropriate cases to other internal and external sources to assist patients with discharge/post-hospital care. Interact with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement.
MINIMUM QUALIFICATIONS
- A minimum of three (3) years previous related experience in a large complex healthcare setting.
- Thorough knowledge of insurance verification, registration, and medical terminology.
- Proficient with MS Office: Outlook, Word, and Excel. Computer skills/ability to work between multiple systems accurately and efficiently.
- Strong problem solving skills. Ability by using good judgment by applying these skills to assist customers and ensure expectations are met. Solid organizational skills with independent ability to set priorities, meet deadlines, and manage conflicting demands with limited supervision.
- Ability to interact effectively with the public, patients, visitors, clinical and support staff. Ability to work in an interactive and collaborative environment. Excellent customer service skills. Self-starter who is accountable and requires minimal direction and supervision.
- Excellent communication skills with ability to communicate clearly both verbally and in writing and be able to articulate complex ideas for all levels of audiences.
- Possess the personal characteristics of professionalism, credibility, commitment to high standards, innovation, discriminating judgment and accountability.
PREFERRED QUALIFICATIONS
- UC San Diego - Extended Studies Intensive Revenue Cycle Course Certificate.
- Experience with insurance and authorization verification.
- Strong knowledge of third party payors including federal, state, and private health plans.
- Bilingual English/Spanish.
- Knowledge of medical terminology.
- Knowledge and articulation of hospital patient forms, as required by JACAHO/GAD, etc.
- Prior cash handling experience.
- Experience completing Birth certificates.
SPECIAL CONDITIONS
- Must be able to work various hours, days, shifts, on-call and various locations based on the 24-hour Medical Center's business needs.
- Employment is subject to a criminal background check and pre-employment physical.
Pay Transparency Act
Annual Full Pay Range: $54,664 - $67,944 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $26.18 - $32.54
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).
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