As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of
people through patient care, research and education. Success in this mission requires a culture of
collaboration, excellence, leadership, and respect. UCSF Medical Center seeks faculty and staff that are
committed to the values of professionalism, respect, integrity, diversity, and excellence that are integral to
our mission.
The PC Authorization Coordinator is primarily responsible for securing financial clearance for the patient,
provider, and health system. The coordinator works closely with the administrative, clinical and
management teams to support practice operations and customer service recovery and intervention efforts.
Provides support for financial clearance functions including authorizations, PAFRs, LOAs billing and RFIs.
Under the direction of the Revenue Manager and/or supervisor, the biller/auth rep will work independently
to resolve billing related issues in APeX (Epic) to help maximize payor reimbursement and RVU charge
capture. He/she must have an advanced understanding of healthcare terminology, processes and workflow
and healthcare billing/authorizations in order to make good decisions and resolve account issues. The
incumbent should also have outstanding people skills, including telephone technique, professional
appearance, organizational skills, and communication skills (oral and written).
This position will also be responsible for performing detailed review of medical record documentation to
answer billing/authorization level questions and will be responsible for working assigned authorization and
billing work queues (WQs) on a daily basis to assist in keeping the denials at a minimum. He/she must have
the ability to prioritize multiple tasks and work well with all levels of staffing including faculty,
management, and coworkers both within and outside of the unit.
The PC is responsible for the maintenance of all routine clerical operations and communications. Adheres
to the UCSF House and Telephone Standards and is sensitive to the needs of patients, staff and providers at all times. The PC is a team player who works closely with others and who is flexible in dealing with the
changing priorities. Requires a self-reliant individual who synthesizes knowledge of practice operations in
order to problem-solve, prioritize and facilitate complex transactions in the course of daily activities.
This position makes a difference for patients in an outpatient care unit by providing excellent customer
service, facilitating and ensuring the accuracy of the information flow between medical, hospital staff and
departments to maximize unit efficiency. The PC is required to work at any UCSF campus as needed and
scheduled.
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 (ucop.edu)
Please note: 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. 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
• Demonstrated experience in health care (may include medical, dental or veterinary) in the
following areas: patient scheduling, insurance verification, medical record data abstraction, or
patient financial services.
• Prior experience with appointment, ancillary service or surgical scheduling or a combination of all
three.
• Bi-lingual or multi-lingual capability (Spanish, Cantonese, and Russian) strongly preferred.
• Prior experience with EPIC. • High School graduate or equivalent with four years related experience; or college degree and 6
months related experience; or equivalent combination of education and experience.
• Successfully passes fingerprinting protocol and is approved to be a cash collector if applicable.
• Strong computer skills, including basic keyboarding skills, and experience with at least two Office type software programs (i.e., Outlook, Word and Excel). Proven ability to navigate through multiple
patient records systems. Able to sit at a computer terminal with telephone headphones for
extended period of time.
• Ability to analyze situations, prioritizes, and develops solutions and makes recommendations.
• Ability to work with minimal supervision
• Ability to use good judgment and work independently, at times under the pressure of deadlines
• Ability to access situations prioritizes workload, develop solutions and make recommendations.
• Excellent customer service and communication/interpersonal skills, both over the telephone and
directly.
• Able to sit at a computer terminal with telephone headphones for extended periods of time.
• Basic math skills required.
• Proven ability to deal with a wide variety of individuals.
• Ability to deal sensitively and effectively with patients.
• Excellent organizational and problem-solving skills.
• Strong writing skills to include the ability to compose, edit, and proof a wide variety of documents.
• Demonstrated administrative/office coordination skills.
• Demonstrated knowledge of medical practice terminology.
• Within six months of start date, based upon completion of training, the Supervisor, completes the
proficiency checklist with the employee. This includes the following areas if applicable
o Complete moderate to complex authorization independently
o Work applicable work queues
o Right Fax
o Use of Authorization/Certification Table
o Ensure they have access to all Payer websites and can utilize all proficiently
o Efficiently obtain authorizations within or exceeding productivity requirements
o Review and verify benefits as needed; update in Apex
o Staff message
o Route authorization queries to practice (My Chart)
o Patient Schedule (My Chart)
o Letters
o Pools
o Patient look up
o Comment field
o Quick note
o Scanning
