Position Summary:

The University of California, Irvine, a career destination unlike any other, is built upon a rich history of academic and healthcare excellence. We are supported by a globally unique team of academic professionals, researchers, medical experts, and staff. Guided by our mission, vision, and strategic pillars, we thrive in a collaborative environment. We celebrate and leverage the diverse experiences and perspectives of our UCI community to continue to push the boundaries of innovation. Your opportunity to be a part of an award winning team, advancing your career journey, is now!

Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise.

Essential Job Functions:
The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.

• Meets established timeframes for entry of data 0%
• Ensures accurate authorization process by consistently completing authorizations from CCS, MSI, MediCal, medical groups other than UC Irvine 20%
• Effectively uses computer programs to obtain demographic information and register patients, accurately verifies insurance coverage, including Medical Group eligibility 10%
• Effectively educates clinical staff, physicians and team members about authorization process as appropriate 10%
• Effectively communicates with patients & physicians to assure continuity of care 20%
• Appropriately determines patient eligibility in relation to established program, insurance or contract standards. Effectively counsels patients regarding insurance and eligibility 30%
• Accurately collects and inputs patient information into computer system 10%

Total Compensation

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Required Qualifications:

• Previous experience with computer registration and registration scheduling system
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate general understanding of medical terminology
• Must demonstrate customer service skills appropriate to the job
• Must be able to travel to off site physician practices
• Minimum one (1) year recent experience (within past two (2) years) registering patients in a hospital or clinic, working as a Medical Assistant, or working in medical billing
• General knowledge of ICD9 and CPT codes
• Excellent written and verbal communication skills in English
• Demonstrated experience using MS Office
• Ability to work weekends, holidays, and evenings
• Ability to maintain a work pace appropriate to the workload
• Ability to interpret and understand various medical insurance plans and make accurate determinations regarding coverage
• Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

• Knowledge of University and medical center organizations, policies, procedures and forms
• Familiarity of Joint Commission standards
• Experience with Epic
• Demonstrated experience with authorization process and surgical scheduling
• Bilingual skill in Spanish or Vietnamese or Chinese
• Bilingual in English and Spanish

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer. 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.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.