U

UCSF

Public health sciences university in San Francisco

Practice Coordinator 3

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-time$34.31 - $49.14

About the Job

Requirements

  • High school graduation or equivalent with four years of related experience, or a college degree with six months of related experience, or an equivalent combination of education and experience.
  • Successfully pass the fingerprinting protocol and be approved as a cash collector if applicable.
  • Have strong computer skills, including basic keyboarding, experience with at least two office software programs such as Outlook, Word, and Excel, and the ability to navigate multiple patient record systems.
  • Be able to sit at a computer terminal with telephone headphones for extended periods.
  • Be able to analyze situations, prioritize workload, develop solutions, and make recommendations.
  • Be able to work with minimal supervision and exercise good judgment while working independently under deadline pressure.
  • Have customer service and communication/interpersonal skills for telephone and direct interactions.
  • Have basic math skills.
  • Be able to work with a wide variety of individuals and deal sensitively and effectively with patients.
  • Have organizational and problem-solving skills.
  • Have writing skills, including composing, editing, and proofreading a wide variety of documents.
  • Have administrative and office coordination skills.
  • Demonstrate knowledge of medical practice terminology.
  • Within six months of starting, complete the supervisor’s proficiency checklist after training, covering applicable functions including referral entry and workqueues; surgery scheduling; applicable workqueues; entering and editing outside test results; CRM messaging and calls; telephone encounters; open encounters and staff/new messages; routing patient advice requests and scheduling through MyChart; letters and pools; patient lookup; check-in and check-out; comment fields; quick notes; and scanning.

Responsibilities

  • Represent the administrative team as the public face of the practice and support practice operations and customer service recovery with administrative, clinical, and management teams.
  • Maintain routine clerical operations and communications, including CRM messages, telephone encounters, referrals, APeX in-baskets, scanning, filing, authorizations, and billing.
  • Work at any UCSF campus as needed and scheduled.
  • Review referral workqueues daily and document activity in referral records; act as primary contact for referring physicians and new patients; maintain external referral logs and create corresponding referral records where required.
  • Assign new patients to providers, schedule and register them, complete intake paperwork, meet accuracy and performance standards, and communicate scheduling problems to the supervisor.
  • Collect and verify insurance and referral/authorization information for first appointments, ensuring referral records and Hospital Accounts Records are created and assigned to appointments.
  • Schedule and coordinate pre-appointment tests and appointments; explain first-appointment procedures and required records to patients; prepare or send new-patient packets; provide requested information and directions; and manage expectations using practice-specific guidelines.
  • Secure outside medical records, scan CDs, and pathology slides; review materials for completeness and determine which physician can best evaluate each patient.
  • Prioritize complex new-patient scheduling by diagnosis and treatment status; communicate treatment scheduling options; coordinate clinical-trial screening with research personnel and physicians; consult other clinical disciplines and coordinate care, schedules, and services as indicated.
  • Meet with patients after new-patient visits as appropriate to explain care coordination involving clinical trials, testing, surgery, other departments, and external providers.
  • Coordinate outpatient and inpatient surgery scheduling within clinically appropriate timeframes; communicate with patients, physicians, and hospital staff; process admission forms; schedule pre-surgical tests; and secure resources and equipment.
  • Coordinate complex operating-room scheduling, including time outside designated blocks, operating-room and surgical-robot utilization, and joint cases involving other surgeons or services.
  • Coordinate pre-operative anesthesia appointments, testing, authorization coding, surgery scheduling in Op-Time, admissions, discharges, hospital reservations, transfers, and urgent authorizations for study patients.
  • Confirm accuracy and availability of medical information in APeX and ensure compliance with hospital policies and procedures.
  • Secure and amend surgical authorizations, coordinate with Hospital Admissions, follow up with insurance companies on post-surgery procedure changes, and liaise with procedure billing teams regarding updated authorizations and treatment authorization requests.
  • Ensure diagnoses are confirmed before treatment through formal review of outside studies and pathology, and ensure timely communication and documentation with patients and physicians.
  • Obtain surgical consent for cosmetic services; identify cases, explain cosmetic pricing guidelines, quote prices, coordinate payments, analyze pricing, and provide customer service supporting elective cosmetic services.
  • Arrange post-surgical appointments and testing, including home care, physical therapy, durable medical equipment paperwork, and workers’ compensation paperwork as necessary.
  • Perform cash collection and deposits as assigned, following established policies and procedures.
  • Explain administrative and financial policies to patients, answer account questions, and refer patients to financial counseling, billing agents, patient relations, or other departments when needed.
  • Obtain and document insurance authorizations for visits, referrals, procedures, and ancillary services; communicate clinical information to insurance companies.
  • Work with CPT, ICD-9, and ICD-10 codes for scheduling and authorization; monitor provider charts and encounters and support timely documentation for revenue-cycle workflows; work RFI queues to support accurate billing and denial responses.
  • Obtain complex authorizations for durable medical equipment, medications, services, and testing; track renewals; work with HCPC codes; interpret insurance benefit packages; review denial reports; initiate retroactive authorizations; identify denial trends and improve workflows.
  • Compile and analyze revenue-cycle data and create reports in Microsoft Excel; address billing complaints and track complaint patterns for staff and provider coaching and education.
  • Serve as a resource for managed-care requirements and insurance questions; review patient eligibility and coordinate transitions to new primary care practices with social work and clinical teams.
  • As practice SuperUser, produce reports and review cash-collection barriers with staff; support improvements to collection rates.
  • Greet and welcome patients, determine and collect co-payments, register patients promptly, communicate confidentially and professionally, maintain the reception area, address delays or inadequate service, and assist patients with check-in kiosks.
  • Handle front-office functions including registration, referral processing, authorization coordination, cash deposits, durable medical equipment oversight, and scheduling; develop productivity reports with management and identify workflow improvements.
  • Create Cadence schedule templates, assess their effect on access, generate rescheduling reports, and coordinate timely patient rescheduling.
  • Schedule established-patient appointments using APeX, coordinate appointments across providers, explain practice policies, answer schedule questions, triage calls, route messages, retrieve patient data, follow up on missed appointments, and cover in-baskets and phone messages when teammates are absent.
  • Provide administrative support to providers, schedule procedures and tests, coordinate urgent and same-day patient needs with clinical staff, resolve patient complaints with practice leadership, and maintain filing and scanning.
  • Recognize clinical symptoms and escalation levels, expedite appropriate processes or interventions, de-escalate difficult encounters, and seek support when needed to protect workplace safety.
  • Coordinate complex patient care, appointments, testing, home care, physical therapy, durable medical equipment, disability, and workers’ compensation paperwork; track patients on parallel care pathways and coordinate timely follow-up.
  • Book radiology appointments in radiology scheduling software while ensuring accuracy of exam type, location, and insurance restrictions; identify referral problems and report suggested solutions; develop referral-management reports; and maintain open-access schedules to meet Patient-Centered Medical Home standards.
  • Perform applicable APeX patient-care-coordinator functions, including referral entry, CRM and telephone-encounter management, workqueue processing, MyChart communications, SmartPhrase templates, patient letters, outside test-result entry, kiosk troubleshooting, pending orders and Smart Sets, order-class changes, advanced appointment scheduling, and coordinating access at another site or urgent care when needed.
  • Respond to patient calls and online appointment requests; use EPIC Cadence to schedule appointments, document calls in EPIC CRM, convert CRM messages to telephone encounters, and apply phone-bank protocols to involve clinicians for urgent or emergent symptoms.
  • Prepare charts, track and return incoming slides, films, and reports, scan and import records into APeX, and maintain confidentiality and HIPAA requirements.
  • Participate in team meetings, attend training and apply learning, improve procedures and administrative systems, participate in performance-improvement and customer-service initiatives, and comply with infection-control, safety, administrative, clinical, Joint Commission, and Title 22 requirements.
  • Cover coworkers’ workloads and absences, maintain provider calendars, support Patient-Centered Medical Home care, coordinate patients’ forms and continuity of care, and provide one-to-one and team training for new hires and initiatives.
  • Facilitate float coverage, contribute documentation to the Patient-Centered Medical Home application workgroup, report equipment malfunctions, follow ergonomic and infection-control recommendations, and serve as practice deputy for life-safety activities and drills.
  • Respond to patient inquiries and complaints, support performance-improvement initiatives, notify providers and staff about delays, suggest operational improvements, model professional conduct, and support a patient-focused environment.
  • Resolve escalated day-to-day operational issues, advise management and lead process-improvement initiatives, serve as a resource for designated functions such as APeX SuperUser, provide staff performance feedback, and support staff orientation, training, and oversight.
  • Follow UCSF service-excellence and PRIDE standards; communicate effectively and respectfully with patients and staff; escort patients or families as needed; maintain privacy and confidentiality of protected health information; follow safety and infection-control procedures; and support quality metrics and organizational targets.
  • Maintain neat and safe work areas, follow cleaning processes, dispose of litter, post materials only in designated areas, report unsafe conditions, and protect equipment and facilities.
  • Adapt tasks and workflows as needed and perform other assigned duties.

Desired Qualifications

  • Experience in health care, including medical, dental, or veterinary settings, in patient scheduling, insurance verification, medical-record data abstraction, or patient financial services.
  • Prior experience with appointments, ancillary-service scheduling, surgical scheduling, or a combination of these.
  • Spanish, Cantonese, or Russian bilingual or multilingual capability.
  • Prior experience with EPIC.

About the Company

UCSF

Public health sciences university in San Francisco

UC San Francisco is a public research university in San Francisco focused solely on health sciences, combining professional education with biomedical research and patient care. Its schools of dentistry, medicine, nursing and pharmacy train clinicians and scientists, while teams investigate cancer, immunology, genomics and neuroscience. UCSF Medical Center and Benioff Children's Hospitals connect clinical care with faculty research and training, and university clinics serve patients across Northern California. Founded in 1864, UCSF is the University of California campus dedicated to graduate and professional education and biomedical research, based in San Francisco.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Not listed
Founded
1864

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