Authorization Coordinator- Central Authorization Unit - FT Day Shift

University of California - Irvine Health; Irvine (CA); On-site; USD 42,000 - 62,000; Full time

Job summary

UCI Health in Irvine, CA is seeking an Authorization Specialist to obtain required authorizations, verify patient eligibility, and gather benefit information. You will generate authorization letters and address inquiries from Member Services, resolving issues as part of a team delivering patient care.

Strong medical terminology knowledge, customer service skills, and proficiency with MS Office are essential. Travel to off-site physician practices may be required; Epic experience is a plus.

Qualifications

• Minimum 1 year experience registering patients in a hospital or clinic, or in medical billing or as a Medical Assistant.
• Familiarity with ICD9/CPT codes.

Responsibilities

• Obtain all necessary authorizations per guidelines; verify eligibility and collect benefit information.
• Generate authorization letters and respond to Member Services inquiries.
• Resolve authorization issues with a team-based approach to patient care.

Skills

Registration systems

Medical terminology

Customer service

MS Office

Team collaboration

Communication (verbal/written)

Off-site travel

Tools

Epic

MS Office

Job description

Who We Are

UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties.

As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association.

Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education.

Your Role on the Team

Position Summary:

Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise. Utilizes a team based approach to delivering patient care services.

What It Takes to be Successful

Required Qualifications:

• Previous experience with computer registration and registration scheduling system


• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties


• Must demonstrate general understanding of medical terminology


• Must demonstrate customer service skills appropriate to the job


• Must be able to travel to off site physician practices


• Minimum one (1) year recent experience (within past two (2) years) registering patients in a hospital or clinic, working as a Medical Assistant, or working in medical billing


• General knowledge of ICD9 and CPT codes


• Excellent written and verbal communication skills in English


• Demonstrated experience using MS Office


• Ability to work weekends, holidays, and evenings


• Ability to maintain a work pace appropriate to the workload


• Ability to interpret and understand various medical insurance plans and make accurate determinations regarding coverage


• Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

• Knowledge of University and medical center organizations, policies, procedures and forms


• Familiarity of Joint Commission standards


• Experience with Epic


• Demonstrated experience with authorization process and surgical scheduling


• Bilingual skill in Spanish or Vietnamese or Chinese

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan


• Employment Misconduct*


• Legal Right to Work in the United States


• Vaccination Policies


• Smoking and Tobacco Policy


• Drug Free Environment

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act


• E-Verify


• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [e-mail] or at [phone], Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization