Registration Coordinator

University of California, San Francisco; San Francisco (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

A leading medical university in California seeks a Registration professional to provide support to intensive patients. Responsibilities include handling reception, verifying insurance coverage, and coordinating care among services. Candidates should possess excellent customer service skills, a Bachelor's degree, and the ability to work flexibly across various locations. This role requires at least one year of relevant experience, enhancing patient interactions within the healthcare system.

Qualifications

• Flexibility to orient and work at all UCSF Medical Center locations.
• One year of related experience.
• Experience with managed care systems.

Responsibilities

• Communicate financial policies to patients and assist with account questions.
• Obtain and document insurance authorizations.
• Secure prior authorizations for patient procedures.
• Address patient complaints regarding billing.
• Coordinate patient care among various services.

Skills

Customer service skills

Insurance authorization knowledge

Communication skills

Multitasking

Education

Bachelor's degree in a related area

Job description

Overview

Job Summary: Reports to the Business Manager, and is guided by the procedures of Inpatient and Outpatient services. The Registration is responsible for providing support to all intensive (Inpatient, Partial Hospitalization, Intensive Outpatient Program, consult Liaison and Electroconvulsive Therapy) patients seeking services at Langley Porter Psychiatric Hospital - UCSF Health. The Registration handles reception, registration, insurance coverage verification, relaying financial information, providing financial need applications, and patient processing. Supports the Utilization Review Coordinator with analyzing patient records to determine legitimacy of admission, length of stay, and compliance with insurance reimbursement. Receives assignments in the form of objectives with goals and the processes by which to attain them. Serves as a clinical resource and liaison for patients and their families and assists with navigating all aspects of the healthcare system.

Responsibilities

• Communicates LPPHC administrative and financial policies clearly to patients, answering patient account questions and knowing when to refer patients to financial counseling, billing partners, patient relations or other support departments for additional help.
• Obtains and documents insurance authorizations for established patient visits, referrals and procedures or ancillary services. Communicates clinical information from medical records authorization requests to insurance companies.
• Works RFI work queues to secure information for accurate billing submissions or to respond to denials such as retro authorizations, clinical documentation, and addended authorizations with add on CPT codes.
• Secures prior authorization for procedures, specialty visits and ancillary testing and coordinates with Hospital Admissions Department as needed.
• Collects and verifies insurance and referral/authorization information for first appointment ensuring referral records and Hospital Accounts Records (HARS) are created and assigned to the appointment.
• Secures complex insurance authorizations for services, medications, or testing and is able to track the authorizations for renewal based on insurance company driven limits of time frames or numbers of visits or services.
• Understands how to identify and interpret a patient’s insurance benefit package, including pharmacy and mental health carve outs.
• Address patient complaints from patients regarding billing and complaints related to billing that come out of Patient Relations.
• Understands the concept of managed care and is knowledgeable about the resources available to the staff in regard to knowing the specific requirements of individual managed care plans. Assist patients to understand the concept of managed care.
• Coordinates care for patients amongst the various services of Langley Porter Hospital and UCSF Health.
• Interacts via telephone and face to face with a wide range of adult clinical populations.
• Triages urgent matters to appropriate resources in collaboration with patient, family members, primary care providers, mental health providers, insurance companies, and medical groups.
• Follows up as needed with patients and stakeholders.
• Provides excellent customer service skills with patients and staff.
• Prioritizes multiple tasks.
• Maintains good working relationships with staff, patients, and providers.

Qualifications

• This position requires flexibility to orient and work at all UCSF Medical Center locations.
• One year related experience.
• Bachelor's degree in related area and/or equivalent experience / training.

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. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences.

Equal Employment Opportunity

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 status under state or federal law.