Patient Business Services

Support the audit readiness and operational effectiveness of UCLA Health's Audit and Appeals function within Patient Business Services. Reporting to the Audit and Appeals Manager, the Administrative Assistant provides administrative and operational support for regulatory reviews, government audits, and payer appeal workflows. This role tracks correspondence, maintains accurate records, monitors deadlines, and compiles appeal materials across multiple systems and payer portals, playing a key role in ensuring timely and compliant outcomes for Medicare and commercial audit and denial processes.

In this role, you will:

• Review government and commercial payer audit portals, retrieve and distribute audit letters, medical record requests, findings, and determinations, and log, scan, upload, and index correspondence into established tracking systems.
• Compile, scan, and upload appeal packets and supporting documentation, ensuring all materials are indexed and attached to the correct patient and account records.
• Monitor audit logs, portals, and deadlines, perform routine follow-up with payers and regulatory agencies, and escalate time-sensitive issues or discrepancies to leadership as appropriate.
• Track appeal packet status and ensure timely progression through denial workflows, coordinating with Utilization Review, HIMS, Coding, Compliance, and Revenue Integrity to resolve missing or incomplete documentation.
• Review patient and account information to obtain demographic, financial, and audit-related data, and document all audit, review, and appeal activity clearly and accurately in designated systems.
• Maintain complete and organized electronic and paper filing systems in accordance with retention guidelines, ensuring data accuracy and consistency across audit and appeal tracking tools.
• Route audit and non-audit correspondence to appropriate internal stakeholders and respond to routine inquiries from internal departments.
• Assist leadership with audit data compilation, reporting activities, departmental audits, and special projects as assigned.

Salary Range: $26.42 to $37.49 hourly