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.
Under the general supervision of the manager and Financial Clearance Unit senior leadership, the Quality Commission Trainer will be responsible for:
- Evaluating and providing supportive and constructive feedback to UCLA’s Financial Clearance Unit on the Quality Reviews (QRs) they perform for representatives
- Ensure that supervisors are performing consistent and accurate QRs across all units and ensuring representatives receive consistent and fair reviews and supervisors provide tangible, data driven feedback
- Support department training efforts for new staff members, maintain training materials, identify and fill training gaps to ensure high quality work, and provide quality review coverage to supervisors with; answering busy phone system; sending out comprehensive trending reports
- In-depth knowledge and understanding of health plan benefit coverage levels/authorization information; assisting in pre-registration for the appropriate clinics; verifying insurance billing addresses; photocopying; faxing; sorting mail; and special projects as assigned
- Assist with training desk staff on CareConnect (Missing Registration and Insurance Verification) work flow process and other applicable needs
- Excellent customer service is provided to patients, faculty/staff, including outside vendors, insurance company representatives and registration representatives
We’re seeking a flexible, customer-focused, detail-oriented individual with:
- Minimum two years in medical registration, billing, insurance processing or financial counseling required, preferably in a healthcare ambulatory department setting.
- In-depth knowledge of insurance plans (e.g., CPT, ICD-1, HMO, PPO, Medicare, Medicaid/MediCal, Workman’s Compensation, etc.)
- Demonstrated knowledge of insurance authorization and verification process
- Skill in analyzing information, problems, situations, practices, and procedures; identify patterns and tendencies, formulate logical and objective conclusions, and recognize alternatives and their implications
- Ability to read and interpret documents such as training manuals, patient care referrals, authorizations, payor contracts, coverage to determine financial responsibility, benefits, and one-time agreements
- Ability to write routine reports and correspondence. Ability to effectively present information in one-on-one and small group situations to supervisors, patients, patient’s family and other employees of organization.
- Ability to accept and carry out oral instructions accurately and work independently as well as a part of a team within a demanding environment
- Ability to prioritize work, handle multiple tasks to completion and make decisions on which course to follow for a particular situation
- Skill in speaking clearly and distinctly using appropriate vocabulary and grammar; telephone manners to handle heavy phone work with courtesy and tact
- Ability to work independently and follow through on assignments with minimal direction and supervision
- Ability to adapt and implement frequently changing procedures
- Knowledge of medical terminology and the ability to distinguish different exams and medical diagnoses
- Knowledge and familiarity with the Department and Hospital computer systems, including pre-registration and insurance verification procedures in the appropriate computer system
EMPLOYMENT SCAM ALERT:
UCLA Health Recruitment is currently being targeted by scam artists through external job board sites. Review some tips in order to avoid becoming targeted. El reclutamiento de salud de UCLA actualmente está siendo atacado por estafadores a través de sitios de juntas de trabajo externos. Revisar algunos consejos para evitar ser apuntado.
“The environment is nurturing and fosters growth. When I come to work, I know what I'm doing matters.”
VINCENT, Sr. CLS Specialist, Toxicology

MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.

SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.

EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered

RENE
If you want to grow professionally, this is the right place for you.

ERA
We are family here. We support each other. We collect together.

ELIZABETH
It’s so diverse and inclusive here. There’s always the opportunity to share your thoughts. It's a place where you feel you belong.

JERRY
Your career path at UCLA Health will enable you to follow a myriad of avenues and turns. It opens up a wide variety of opportunities.

ORLANDO
There’s a togetherness and higher level of commitment to teamwork at UCLA Health. We are several groups and teams that work together with a common goal which is to improve our patients experience.

KATHERINE
UCLA Health is a supportive, collaborative, and purposeful environment where leadership is invested in your growth and creating real opportunities. And knowing that what we do matters gives a real sense of purpose.

DR. ISLA GARRAWAY
UCLA has incredible resources and a team science approach. The ability to work with collaborative teams and access the amazing resources around campus is the best part about being at UCLA.

RADU
UCLA is very diverse in its personnel as well as its many research fields studied

JENNA
UCLA Health provides so many opportunities to exchange ideas, share moments and grow. I have learned a lot about team management and relationship building.

SHARON
I was looking for a job to further my career and continue to improve and learn as a therapist.

TARO
I have been blessed to be surrounded by supportive colleagues who aspire me to be the best version of myself.












