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Authorization Coordinator
3 months ago
Payroll Title:
- HOSP BLANK AST 3
- Department:
- OPC Orthopedics Clinic
- Hiring Pay Scale
- $26.18 - $32.54 / Hour
- Worksite:
- Koman Family Outpatient Pavilion
- Appointment Type:
- Career
- Appointment Percent:
- 100%
- Union:
- EX Contract
- Total Openings:
- 1
- Work Schedule:
- Days, 8 hr shifts, Monday - Friday**#129843 Authorization Coordinator***:Filing Deadline: Fri 7/5/2024**
**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.**
**DESCRIPTION**:
Under the supervision of the Practice Manager, Incumbent serves as coordinator for all authorizations for the Department of Orthopedics. This position will obtain both surgical authorizations and clinic orderables / appointment authorizations. The position will have primary duties and responsibilities to: ensure smooth flow of authorizations; oversee data entry for the authorization unit; and identify and resolve systemic issues with authorizations as they arise and assisting surgery schedulers in obtaining auths as needed. This position works closely with our surgeons, NPs, PAs and internal departments to ensure that all required information has been received and that it is in EPIC. This position is responsible for facilitating the processing of authorizations associated with orders placed in EPIC.
FUNCTION NAME / TASKS Authorizations Oversight and Coordination A. Ensure adherence to authorization process and ensure that all authorization requests are submitted within three working days. B. Independently resolve issues with insurance companies as they relate to authorizations. C. Identify and provide solutions for systemic problems with authorizations. D. Frequently resolve a wide variety of operational problems requiring sound judgment. E. Serve as a resource for training and/or troubleshooting purposes for all surgeons and clinical providers within the Department of Orthopedics F. Manage authorization request queue and ensure all requested authorizations are obtained and documented appropriately Background in orthopedic surgery is instrumental in determining referral and authorization needs of this patient population. It is complex and expands in many areas: office visits/specific diagnosis/ DME/ radiology/ PT/Home health/ Surgery etc.
**MINIMUM QUALIFICATIONS**:
- Three (3) years of directly related experience in a large complex healthcare or oncology clinic setting; or an equivalent combination of education and experience.
- In depth knowledge of hospital registration and insurance authorizations, including ICD-9, CPT, and HCPCS Codes.
- Prior experience with EPIC, IDX, PCIS, and MS Office (Word, Excel, Outlook, PowerPoint), with demonstrated skill working between multiple systems during calls.
- Possess excellent customer service skills.
- Familiar with EPIC Cadence and WQs preferred.
**PREFERRED QUALIFICATIONS**:
- Experience working in a surgical authorization coordination unit or academic medical center.
**SPECIAL CONDITIONS**:
- Ability to work variable hours/shifts to meet the needs of the department.
- Must be able to float between various department locations (including the Encinitas SD Cancer Center).
- Pay Transparency Act_
Annual Full Pay Range: $54,664 - $67,944 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $26.18 - $32.54
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).
**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
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