Payroll Title:
PAT ACCESS SVC SUPV 2 Department:
Admissions Hiring Pay Scale
$75,000 – $95,000 / Year Worksite:
Greenwich Drive Appointment Type:
Career Appointment Percent:
100% Union:
Uncovered Total Openings:
1 Work Schedule:
Days, 8 hour shifts, Variable
#123887 Patient Access Manager – Hybrid/Remote
Filing Deadline: Mon 7/10/2023
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UC San Diego values equity, diversity, and inclusion. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.
For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy
UCSD Layoff from Career Appointment : Apply by 06/2/23 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants : Apply by 07/10/23. Eligible Special Selection clients should contact their Disability Counselor for assistance.
This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive and remote.
DESCRIPTION
UC San Diego Health’s Revenue Cycle department supports the organization’s mission to deliver outstanding patient care and to create a healthier world – one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.
Includes but not limited to the management and administration of prior authorizations, patient pre-registration and registration, admissions, transfers, and verification of insurance eligibility. Functions are performed in concert with clinical and business departments across the organization, to ensure efficient patient flow and to maximize revenue collections.
Works closely with multiple department to maintain payer requirements and analyze denials. Participates in strategic planning and budget processes. Provides direction, sets priorities and analyzes workflow for authorization team, according to established policies and management guidance. Recommends, develops and implements new and revised procedures as needed.
Key Responsibilities:
Provides oversight to ensure contract and benefit eligibility, prior authorization, insurance verification, and post service requests are completed accurately. Ensures urgent authorization requests are handled in a timely and compliant manner. Ensure compliance with government and commercial billing processes.
As needed, works in conjunction with other departments to improve service quality initiatives, develop audit tools, and meet regulatory and other quality standards.
Manages Patient Access related DNB, claim edits and stop bills, as needed. Track, trend, and report on Patient Access related CFB, as needed. Recommends, reviews, and oversees the implementation of best practice methods and policies which improve both patient quality of care and the financial outcomes. Utilizes strong management practices to create a culture of teamwork, collaboration, and timely achievement of objectives and goals. Responsible for employee performance reviews, recruitment, retention, terminations, and staff development and training programs.
MINIMUM QUALIFICATIONS
- Nine (9) years of related experience, education/training in Revenue Cycle Management, Patient Access, Authorization, Case Management/Utilization Review, OR a Bachelor’s degree in related area plus five (5) years of related experience/training in Revenue Cycle Management, Patient Access, Authorization, Case Management/Utilization Review.
- Experience and proven success in supervisory, organizational, and customer service skills to effectively supervise and prioritize the activities of subordinate staff, and to manage the complex workflow and multiple priorities of admissions and registration.
PREFERRED QUALIFICATIONS
- Proficiency with EPIC applications.
- Knowledge of Prior Authorization processes.
- Government (Medi-Cal, Medicare, CCS) billing requirements.
- Denials management experience.
SPECIAL CONDITIONS
- Must be able to work various hours and locations based on business needs.
- Employment is subject to a criminal background check and pre-employment physical.
Pay Transparency Act
Annual Full Pay Range: $59,700 – $124,300 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $28.59 – $59.53
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).
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Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).
If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.
UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!
Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.
To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community .
UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html
UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.
UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.