University of California, Riverside

This position will provide a broad array of services for outpatient clinics and serve as the subject matter expert responsible for coordinating the delivery of healthcare services to patients by securing all incoming and outgoing patient authorizations and referrals for healthcare services. For incoming patients to UCR Health - reviews referral, obtains information, prepares a file for the physician review for a determination on whether the patient can be seen in the clinic. For current patients, works with other healthcare entities to ensure proper documentation is obtained and sent to the other entity to facilitate the patient to be seen by other specialists, providers, hospitals, etc. At times, may work in the call center to facilitate clinic and patient operations. This position may be assigned to work remotely and at various UCR Health clinic locations. This position may be required to work different shifts, including evenings, weekends, and holidays. The full salary range for this position is $25.38 - $35.97 per hour. We base salary offers on a variety of considerations, such as education, licensure and certifications, experience, and other business and organizational needs. Applicants must have current work authorization when accepting a UCR staff position. Currently, we are unable to sponsor or take over sponsorship of an employment Visa for staff. As a University employee, you will be required to comply with all applicable University policies and/or collective bargaining agreements, as may be amended from time to time. Federal, state, or local government directives may impose additional requirements.
<ul>
<li>experience
A minimum of three (3) years of experience working in a medical environment office role with demonstrated experience of the referral, authorization, and/or patient flow process.
Required
</li>
</ul>
Overtime
required
Required
Knowledge of pertinent laws, regulations, and guidelines governing medical records, confidentiality, privacy and provisions to others, including HIPAA. Excellent customer service and strong interpersonal skills. Must possess the ability to multi-task between identifying areas for improving patient relations, ensuring that quality standards are met while providing extensive personalized customer service, and executing patient and operational activities. Knowledge of practices and protocols related to medical office procedures (i.e., medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.) Must demonstrate customer service skills appropriate to the job. Ability to recognize and handle customer complaints. Ability to accurately handle a high volume of work in a fast-paced environment with compassion, patience and positive attitude. Strong oral and written communication skills to effectively communicate with patients of varying ages, diagnosis, and multicultural backgrounds. Knowledge of ICD-9/ICD-10, CPT, and HCPCS coding sufficient to identify services performed; including diagnoses, procedures, and supplies.
<ul>
<li>Must demonstrate customer service skills appropriate to the job. Ability to recognize and handle customer complaints. Ability to accurately handle a high volume of work in a fast-paced environment with compassion, patience and positive attitude.
Required
</li>
</ul>

Referral and Authorization Coordinator – Multi Specialty

Referral and Authorization Coordinator – Multi Specialty

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