Patient Financial Clearance Specialist

3 weeks ago


San Francisco, California, United States University of California Full time
Job Summary

The University of California, San Francisco (UCSF) is seeking a highly skilled Patient Financial Clearance Specialist to join our team in the Department of Pathology. As a key member of our revenue cycle team, you will be responsible for securing financial clearance for clinical laboratory patients and referring healthcare organizations.

Key Responsibilities:

  • Verify patient insurance eligibility and coverage for each case
  • Communicate with insurance providers to obtain required authorizations or referrals
  • Document essential billing information in the laboratory information management system
  • Work with the lab's accessioning team to resolve payment issues with commercial and government sources
  • Acquire an advanced understanding of payer requirements for the lab's top payers, including Medicare, Blue Cross, Aetna, Cigna, United Healthcare, Tricare, and Medicaid

Requirements:

  • High school graduate or equivalent with four years of work experience; or bachelor's degree with six months of work experience; or equivalent combination of education and experience
  • Strong computer skills, including intermediate proficiency with Microsoft Excel and Word
  • Ability to sit at a computer terminal with telephone headphones for extended periods of time
  • Ability to navigate through insurance verification and health plan portals, and POS payment systems
  • 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

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.

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.

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.



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