Job Abstract

The anticipated duration of this assignment is 3 months; possibility of extension. Please note: this position is hybrid; will be on-site 2x month in Emeryville.

The Pre-Authorization Radiology (PAR) 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 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: 1) verifying basic demographic and clinical information relevant to the patient’s radiology exam/services 2) verifying insurance eligibility and benefits, 3) securing authorization from third party payers (and/or their designated review organizations), and 4) properly notating all activity in APeX.

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

To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles)

Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.

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

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

• APeX experience

• Education: High school diploma or GED required.
• Experience:
• 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, MediCal, Medicare, MIA, C.C.S., and other third party payors.
• Analytical Skills: Ability to problem solve; ability to analyze data and recommend changes.
• Interpersonal Skills:
• 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.
• Office Machine Skills: ADT experience required, knowledge of office machines; typing 30 wpm. Must have basic PC skills.
• Medical Terminology: Basic knowledge required.
• Second Language: Preferred
• Oral/Written Communication:
• Articulate and concise oral communication
• Ability to write clearly and concisely.