Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
In this role, you will oversee all authorizations team members within the community hematology-oncology practices. Responsible for administrative and revenue cycle analysis as well as coordination of authorizations department services.
Salary range: $70,900/year – $145,200/year
Required:
- Working knowledge of insurance authorizations and verification process for major medical insurance plans
- Working knowledge of UCLA Health System’s scheduling and administrative policies and procedures
- Experience with varied computer software and hardware including: word processing, knowledge of Microsoft Word, Excel, and Outlook, CareConnect, and the internet
- Typing skills to prepare forms and correspondence with speed and accuracy
- Possesses strong customer services skills to promote pleasant and effective interactions with patients, staff, and physicians
- Knowledge of CPT and ICD-9/10 codes and medical office procedures. General knowledge of oncology procedures and terminology
- Ability to set priorities and complete assignments in a timely manner under minimal supervision
- Knowledge of Medical Terminology
- Advanced organizational skills to ensure a workable, efficient workspace and accomplish established objectives
- Working knowledge of third party payor verifications terminology to determine benefit eligibility and interpretation of coverage
- Knowledge of State and Federal programs to ensure reimbursement
- Skills in analyzing information, problems, situations, practices, and procedures to recognize alternative solutions
- Ability to problem solve with personnel/teams while maintaining cooperative working relationships with administrators, physicians, peers, and the public
- Skills in recognizing an emergency or high priority situation and taking appropriate and immediate action. Demonstrate ability to maintain composure when confronted by difficult situations and respond professionally
- Ability to work as part of a leadership team, maintaining confidentiality in all assignments, and showing initiative in identifying and solving problems as they occur
- Skills in setting priorities which accurately reflect the relative importance of job responsibilities
- Skills to analyze and complete the revenue cycle
- Demonstrated ability to creatively integrate competing demands of a multidisciplinary setting into a productive work environment
- Skills in verbal and non-verbal communications to clearly convey complex problems and proposals in both formal and informal settings
- Working knowledge of research-oriented patient care systems
- Working knowledge of University policies and procedures to appropriately manage revenue systems, cashiering, risk management, and personnel
- Previous demonstrated expertise in managing patient services staff
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MONICA
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