The Permanente Medical Group, Inc. (Kaiser Permanente Northern California)
Fresno & Modesto, California
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In this role, you will oversee all authorizations team members within the community hematology-oncology practices. Responsible for administrative and revenue cycle analysis as well as coordination of authorizations department services.
Salary range: $70,900/year - $145,200/year
Qualifications
Required:
Working knowledge of insurance authorizations and verification process for major medical insurance plans
Working knowledge of UCLA Health System’s scheduling and administrative policies and procedures
Experience with varied computer software and hardware including: word processing, knowledge of Microsoft Word, Excel, and Outlook, CareConnect, and the internet
Typing skills to prepare forms and correspondence with speed and accuracy
Possesses strong customer services skills to promote pleasant and effective interactions with patients, staff, and physicians
Knowledge of CPT and ICD-9/10 codes and medical office procedures. General knowledge of oncology procedures and terminology
Ability to set priorities and complete assignments in a timely manner under minimal supervision
Knowledge of Medical Terminology
Advanced organizational skills to ensure a workable, efficient workspace and accomplish established objectives
Working knowledge of third party payor verifications terminology to determine benefit eligibility and interpretation of coverage
Knowledge of State and Federal programs to ensure reimbursement
Skills in analyzing information, problems, situations, practices, and procedures to recognize alternative solutions
Ability to problem solve with personnel/teams while maintaining cooperative working relationships with administrators, physicians, peers, and the public
Skills in recognizing an emergency or high priority situation and taking appropriate and immediate action. Demonstrate ability to maintain composure when confronted by difficult situations and respond professionally
Ability to work as part of a leadership team, maintaining confidentiality in all assignments, and showing initiative in identifying and solving problems as they occur
Skills in setting priorities which accurately reflect the relative importance of job responsibilities
Skills to analyze and complete the revenue cycle
Demonstrated ability to creatively integrate competing demands of a multidisciplinary setting into a productive work environment
Skills in verbal and non-verbal communications to clearly convey complex problems and proposals in both formal and informal settings
Working knowledge of research-oriented patient care systems
Working knowledge of University policies and procedures to appropriately manage revenue systems, cashiering, risk management, and personnel
Previous demonstrated expertise in managing patient services staff
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.