Patient Financial Clearance Specialist

F_TEP-Campus Employees

Temporary Employment

83705BR

Job Summary

The anticipated duration of this temporary assignment is approximately 4 months.

The patient financial clearance (PFC) specialist is a member of the Dermatopathology Service's patient financial services team. The incumbent is primarily responsible for securing financial clearance for clinical laboratory patients (cases). The PFC specialist verifies patient demographic and insurance eligibility information for each case and enters accurate and complete billing information in the laboratory information system.

Key Responsibilities:

The PFC specialist is responsible for working a daily caseload of assigned insurance and authorization cases. Under the general direction of the revenue cycle supervisor, the PFC specialist works independently to resolve payment issues with commercial and government sources that provide healthcare coverage through numerous types of health plans. These plans include traditional indemnity or fee-for-service (FFS) plans; managed care plans like health maintenance organizations (HMO); preferred provider organizations (PPO); and point-of-service (POS) plans. The Dermatopathology Service's top payors are Medicare, Blue Cross, Aetna, Cigna, United Healthcare, Tricare, and Medicaid.

The PFC specialist has a can-do attitude and a positive mindset. The successful incumbent is a motivated, self-reliant individual who works efficiently and understands the collective goal of the revenue cycle group. The PFC specialist is a team player who works well with the other revenue cycle staff and with the Service's other administrative and operations staff.

The final salary and offer components are subject to additional approvals based on UC policy.

To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles)

Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit:

https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Department Description

UCSF's Temporary Employment Program (TEP) recruits and hires temporary employees for immediate clerical and technical support services to UCSF Departments and various off-campus locations. UCSF departments deploy temporary employees to work on special projects, fill in for regular employees who are on vacation or leave, or to temporarily fill a vacant position during recruitment. Frequently temporary employees become successful candidates for career and limited appointment positions.

Required Qualifications

• High school graduate or equivalent with four years of medical billing work experience; or bachelor's degree with six months of medical billing work experience; or equivalent combination of education and experience
• Strong computer skills including desktop operations and keyboard functions; ability to use fax, scanner, and photocopier equipment
• Basic proficiency with Microsoft Office applications including Excel
• Ability to navigate through insurance verification and health plan portals, eg FrontRunner or Availity
• Ability to sit at a computer terminal with telephone headphones for an extended period
• Ability to prioritize case workload, solve billing problems, and meet service time standards
• Possess excellent communication skills including listening, observing, speaking, and writing
• Provide courteous service to all stakeholders including patients, providers, and other clinicians
• Ability to complete assigned caseload efficiently and solve problems with minimal supervision
• Reliable, consistent work attendance and punctuality

Preferred Qualifications

• Patient financial services experience in a medical practice, diagnostic lab, or in a hospital setting
• Patient financial services experience at a University of California health center or other academic health system
• Knowledge of CPT, ICD 10, and HCPC medical billing codes
• Advanced understanding of payer requirements for Medicare, Medicaid, and HMOs/PPOs
• Familiarity with the Health Insurance Portability and Accountability Act (HIPAA)

About UCSF

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

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.

Organization

TEP

Job Code and Payroll Title

004818 PRACTICE CRD 3

Job Category

Accounting / Finance, Administrative Support, Professional (Non-Clinical), Support Services, Temporary Employment

Bargaining Unit

Teamsters Local 2010 - Clerical and Allied Services Unit (CX)

Employee Class

Temporary Employment

Percentage

100%

Location

San Francisco, CA

Campus

Mount Zion (SF)

Work Style

Fully On-Site

Shift

Days

Shift Length

8 Hours

Additional Shift Details

Mon - Fri 0800 - 1700