Financial Clearance & Insurance Authorization Specialist I

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

Job summary

UC San Diego Health's Revenue Cycle team seeks a Financial Clearance & Insurance Authorization Specialist I to verify insurance eligibility, obtain pre-certification, and communicate coverage to patients and providers. The role involves providing estimated patient liability and coordinating service scheduling within a complex academic health system.

Ideal candidates have hospital/pre-access experience, strong customer service skills, and proficiency with Epic and MS Office.

Qualifications

• Hospital and/or professional services pre-access or billing experience.
• Three years of hospital and/or professional services pre-access or billing experience in a multispecialty setting.
• Experience with insurance eligibility and benefits coverage verification, pre-certification and/or authorization, and patient financial responsibility explanations.

Responsibilities

• Verify insurance eligibility and benefits coverage; obtain pre-certification/authorization.
• Communicate coverage status with patients and providers and reschedule services as needed.
• Provide and collect estimated patient liability amounts and explanations of benefits.

Skills

Customer service

Insurance verification

Communication

Attention to detail

Problem solving

Education

College degree

Tools

Epic

MS Office

Job description

UC San Diego Health's Revenue Cycle team seeks a Financial Clearance & Insurance Authorization Specialist I to verify insurance eligibility, obtain pre-certification, and communicate coverage to patients and providers. The role involves providing estimated patient liability and coordinating service scheduling within a complex academic health system.

Ideal candidates have hospital/pre-access experience, strong customer service skills, and proficiency with Epic and MS Office.