Authorizations Coordinator - Oncology - 117231
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#117231 Authorizations Coordinator - OncologyExtended Review Date: Thu 7/21/2022
For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy
UCSD Layoff from Career Appointment: Apply by 06/30/22 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 07/12/22. Eligible Special Selection clients should contact their Disability Counselor for assistance.
This position will remain open until filled.
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.
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.
- 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.
- Revenue cycle workflow experience in an oncology setting.
- Must be able to work various hours and locations based on business needs.
- Employment is subject to a criminal background check and pre-employment physical.
Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).
If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.
UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!
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