Admitting Worker Principal
Job Summary Under the supervision of the Preadmission Unit Supervisor, the Principal Admitting Worker is primarily assigned to the Pre-Admit Unit but may rotate or be assigned to any area or site as outlined in the Admitting Department Expectations. The Principal Admitting Worker is responsible for financial clearance of scheduled admissions and surgical procedures, identifying any potential authorization issues that place the patient and/or organization at financial risk. Duties include screening surgical case entries/orders, verifying insurance eligibility and benefits, and ensuring authorizations are secured. The Principal Admitting Worker is required to have general knowledge of health insurance plans with an understanding of the authorization process. The Principal Admitting Worker must be able to effectively communicate with physicians/clinic staff, the applicable Medical Center ancillary department, and/or review organization(s) as required, maintaining a high degree of professionalism.
The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support in areas of revenue operations related to production coding, auditing, and training for their designated areas. Under general supervision, applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting.
Gaining expertise to act as a specialist for designated divisions. Manages a diverse range of 1000 - 3500 procedural code set combinations, plus Evaluation and Management services coding. Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding. Provides analysis to support department revenue cycle management and improve work queue design and management. Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. The Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education.
Familiar with all applicable billing and coding regulations and effectively communicates these regulations to all levels of faculty, management, and staff. Applies broad knowledge of hospital operations, different payor guidelines, charge capture and work flows, Epic systems, authorizations, and charge trigger to assign codes based on review of clinical charts, evaluate and resolve denial issues, and identify areas of revenue cycle improvement.
Please note, we are not sponsoring any Visa's at this time.
The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors, including your work experience and this position classification at UCSF. This position is represented by a labor union; placement within the salary range will be guided by the rules in the collective bargaining agreement. The hourly range for this position is $38.28 to $47.88, depending on relevant experience. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html |
Required Qualifications
- High school diploma or GED required.
- Two (2) years of experience at the Admitting Worker or comparable level.
- Proficiency in the following: health insurance eligibility, authorization requirements and reimbursement financial policies.
- Admissions, Discharge, and Transfer work experience.
- Knowledge of government program regulations: Medi-Cal, Medicare, MIA, C.C.S., and other third-party payors.
- Ability to problem solve; ability to analyze data and recommend changes.
- Must have strong customer service skills and the ability to work collaboratively with a culturally diverse staff and patient/family population.
- Ability to work independently with minimum supervision.
- Knowledge of office machines; typing 30 wpm. and basic PC skills.
- Basic Medical Terminology knowledge.
- Excellent Oral/Written Communication.
Preferred Qualifications
- Second Language
- Authorization experience
About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Employment Opportunity The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Code and Payroll Title 009031 ADMITTING WORKER PRN
Job Category Accounting / Finance, Administrative Support, Financial, Support Services
Bargaining Unit American Federation of State, County and Municipal Employees - Patient Care Technical Unit (AFSCME-EX)
Additional Shift Details M-F
|