Financial Clearance & Insurance Authorization Specialist

UC San Diego; San Diego (CA); On-site; USD 65,000 - 86,000; Full time

Job summary

UC San Diego Health in San Diego, CA is seeking an experienced Financial Clearance and Insurance Authorization Specialist I to verify insurance eligibility and benefits, secure pre-certification, and authorize inpatient or outpatient services as needed.

The role involves communicating coverage status to patients and providers, coordinating rescheduling when required, and providing estimated patient liability amounts to support financial clearance and scheduling.

Qualifications

• Experience in hospital or professional services pre-access or billing.
• Knowledge of insurance eligibility and benefits verification, and pre-certification rules.
• Experience with Epic or similar scheduling/billing systems.
• Excellent customer service and communication skills.
• Proficiency with Microsoft Office applications.

Responsibilities

• Verify insurance eligibility and benefits coverage for hospital and professional services.
• Obtain pre-certification/authorization for services.
• Communicate coverage status and estimated patient financial responsibility to patients and providers.
• Assist with scheduling and rescheduling as needed.

Skills

Customer service

Attention to detail

Problem solving

Microsoft Office

Communication

Education

College degree

Tools

Epic

Job description

UC San Diego Health in San Diego, CA is seeking an experienced Financial Clearance and Insurance Authorization Specialist I to verify insurance eligibility and benefits, secure pre-certification, and authorize inpatient or outpatient services as needed.

The role involves communicating coverage status to patients and providers, coordinating rescheduling when required, and providing estimated patient liability amounts to support financial clearance and scheduling.