Insurance Verification Specialist - 130729
Job Description
UCSD Layoff from Career Appointment: Apply by 07/03/2024 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 07/15/2024. Eligible Special Selection clients should contact their Disability Counselor for assistance.
The Insurance Verification Specialist will collect insurance information from patients and enter in EPIC. Call insurance to verify benefits and calculate and document estimated patient benefits/patient financial responsibility. The Insurance Verification Specialist will discuss and explain patient benefits with patient/family. The Specialist meets with patient/family to sign financial documents. Create and track ongoing insurance authorizations. Work with clinicians and insurance companies to problem solve authorization discrepancies and errors. Work with clinicians and insurance companies to problem solve claims denials.
Work with clinicians and office administrative staff to accurately track patient attendance and service/level-of-care, and accurately report that data to insurance companies and billing/revenue managers. Register patients in EPIC, schedule patients in EPIC, check-in patients in EPIC. Open and close episodes of care in EPIC. Enter insurance authorization in EPIC and monitor authorizations. Collecting and recording patient notes from clinicians. Monthly analysis of open/close episodes. Training for clinicians regarding certain insurance processes. Analyzing rates of claims denials for various insurance providers. Analyzing length of stays and running certain types of reports.
MINIMUM QUALIFICATIONSSix years of related experience, education/training, OR a Bachelor's degree in related area plus two years of related experience/training.
Ability to use sound judgment in responding to issues and concerns.
Solid communication and interpersonal skills to communicate effectively with all levels of staff verbally and in writing.
Solid organizational skills and ability to multi-task with demanding timeframes.
Working knowledge of common organization-specific and other computer application programs.
Ability to use discretion and maintain confidentiality.
Epic experience.
Insurance Authorization/medical billing experience.
Employment is subject to a criminal background check and pre-employment physical.
Must be able to work various hours and locations based on business needs.
Pay Transparency Act
Annual Full Pay Range: $63,580 - $98,282 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $30.45 - $47.07
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).
UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html
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