This posting is a Transfer/Promotional opportunity for UCD/UCDHS Employees (internal candidates). Applications from current UCD/UCDHS employees will be considered first. Applications from the public/external candidates may be considered if an internal candidate is not selected as the most qualified applicant.

• Experience in practices and protocols related to medical office procedures, including but not limited to medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.
• Knowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county-funded coverage, and workers’ compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics, and ancillary services, coordinate hospital services, complete, and submit billing documentation, and explain provisions and requirements to patients.
• Knowledge of ICD-9/10, CPT, and HCPCS coding guidelines sufficient to accurately identify services performed, including diagnoses, procedures, and supplies.
• PC proficiency in computer system applications (such as MS Office Suite, cloud-based applications, etc.)
  
  

• High School diploma or GED equivalent.
• Customer Service background in previous job positions
• Working in a back office for a clinic, physician or health insurance company processing referrals or authorizations for patient services.(Scheduling, ordering patient records to support diagnosis or medical necessity, etc.)
• Working within Epic Staff and Referral messages
• Referral entry and processing. Authorization processing for submission, follow up and denial of authorization.
• Epic knowledge specifically for Referral, Authorization, In Basket and Work Queues

• Must be willing to work variable days (including weekends), hours, and locations as required to meet the business needs of the practice.
• This position may be subject to a criminal background investigation, drug screen, Live Scan fingerprinting, medical evaluation clearance, and functional capacity assessment.
• The University of California has implemented a SARS-CoV-2 (COVID-19) Vaccination Program SARS-CoV-2 Vaccination Policy (ucop.edu) covering all employees. To be compliant with the policy, employees must submit proof of vaccination or a University-approved exception or deferral.
  
  

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The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. 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 nondiscrimination policy.