Insurance Verification Specialist - 130729

Payroll Title:

ADMIN OFCR 2 CX

Department:

EATING DISORDER CLINIC

Hiring Pay Scale

$31.73 - $49.05 / Hour

Worksite:

Executive Drive

Appointment Type:

Career

Appointment Percent:

100%

Union:

CX Contract

Total Openings:

1

Work Schedule:

Days, 8 hrs/day, Monday-Friday

#130729 Insurance Verification Specialist

Filing Deadline: Mon 7/15/2024

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UC San Diego values equity, diversity, and inclusion. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.

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.

DESCRIPTION

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 QUALIFICATIONS

• Six 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.

PREFERRED QUALIFICATIONS

• Epic experience.

• Insurance Authorization/medical billing experience.

SPECIAL CONDITIONS

• 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).

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If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

UC San Diego 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, disability, age or protected veteran status.

For the University of California's Affirmative Action Policy please visit: https://policy.ucop.edu/doc/4010393/PPSM-20

For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

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UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.