Financial Clearance & Insurance Authorization Sp I

Financial Clearance & Insurance Authorization Sp I UC San Diego Health - 4.1 San Diego, CA Job Details $29.27 - $36.39 an hour 9 hours ago Qualifications Collaborate with healthcare professionals Customer communication Patient scheduling systems Health insurance co-pays Microsoft Excel Microsoft Outlook Overseeing health insurance pre-certification Writing skills In-person customer service Medical scheduling

ICD-10 HCPCS

Insurance medical billing Health insurance referral requirements Patient registration Skype Medical terminology Hospital experience

Full Job Description Remote Payroll Title:

PAT BILLER 3

Department:

ADMISSIONS

Hiring Pay Scale $29.27 - $36.39 /

Hour Worksite:

Remote Appointment Type:

Career Appointment Percent:

100%

Union:

EX Contract Total Openings:

1

Work Schedule:

Days, 8 hour shifts, Monday-Friday #139987

Financial Clearance & Insurance Authorization Sp I Filing Deadline:

Mon 6/22/2026 UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. UCSD Layoff from

Career Appointment :

Apply by 06/10/26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Reassignment Applicants :

Eligible Reassignment clients should contact their Disability Counselor for assistance. Candidates hired into this position will attend ONSITE training in San Diego, CA. Candidates hired into this position may have the ability to work remotely.

DESCRIPTION UC

San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world — one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. The Financial Clearance and Insurance Authorization Specialist I is an experienced revenue cycle professional responsible for financially securing scheduled and unscheduled hospital and professional services by verifying insurance eligibility and benefits coverage, and by securing insurance pre-certification and/or authorization for inpatient and/or outpatient services. The Specialist communicates the status of coverage/benefits verification and authorization directly with patients and providers, and facilities rescheduling of services as appropriate. The Specialist provides and collects estimated patient liability amounts.

MINIMUM QUALIFICATIONS

Hospital and/or professional services pre-access or billing experience. Minimum of three (3) years of hospital and/or professional services pre-access or billing experience in an academic or other complex, multispecialty setting. Including insurance eligibility and benefits coverage verification, obtaining pre-certification and/or authorization for medical services, and providing explanations and/or estimates of patient financial responsibility. Will consider less than 3 years of experience for candidates with a college degree. Experience must include insurance eligibility and benefits coverage verification, obtaining pre-certification and/or authorization for medical services and providing explanations and/or estimates of patient financial responsibility. Must have experience with insurance/benefits verification portals or other applications, and experience with Epic or other similar patient registration, scheduling and/or billing information systems. Demonstrated understanding of principles of excellent customer service, customer communications, and/or problem resolution relevant to healthcare settings. Demonstrated knowledge eligibility, covered benefits, medical necessity and pre-authorization rules for federal, state, and commercial third-party payers. Demonstrated knowledge of medical terminology, CPT, ICD-10, HCPCS, NDC, and modifier codes, including impact on benefits eligibility, authorization, and reimbursements for medical services. Demonstrated ability to understand and interpret payer contract terms and insurance verification/benefits eligibility responses. Demonstrated understanding of deductibles, coinsurance and non-covered benefits, and ability to derive accurate estimate of patient responsibility. Demonstrated ability to communicate effectively, verbally and in writing. Demonstrated ability to pay attention to details and follow through independently, analyze and resolve problems effectively, and communicate professionally and effectively with coworkers, UCSD clinical departments and providers, third-party payers, UCSD revenue cycle departments, and patients to meet financial, clinical care and customer service goals of the organization. Demonstrated proficiency in use of Microsoft Office applications (including Outlook, Skype/Lync, Excel and Word).

PREFERRED QUALIFICATIONS

Community college or university courses in medical terminology, medical coding, finance or other relevant subject matter. NAHAM Certified Healthcare Access Manager, HFMA Certified Revenue Cycle Representative, and/or Certified Procedural Coder (CPC or CPC-H) certifications. A minimum of four (4+) or more years of relevant experience. Experience with both hospital and professional services pre-certification and authorization experience. Prefer experience with benefits verification and authorization initial and additional inpatient hospital days, inpatient and outpatient procedures, outpatient diagnostic services, provider consultations and other visits, prescription drugs, SNF, rehabilitation services, durable medical equipment, and home health. Experience working with Epic registration, scheduling and referral applications. Completion of organization-sponsored or professional organization training in principles of customer service, customer communications and/or problem resolution relevant to healthcare settings.

SPECIAL CONDITIONS

Must be able to work various hours and locations based on business needs. Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act Annual Full Pay Range:

$61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent:

$29.27 - $36.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team! Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community. The University of California is an Equal Opportunity 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 status under state or federal law. For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information. UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.

Misconduct Disclosure Requirement:

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. a. "Misconduct" means any violation of the policies governing employee conduct at the applicant's previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct: UC Sexual Violence and Sexual Harassment Policy UC Anti-Discrimination Policy Abusive Conduct in the Workplace Job Details Date Posted 06/05/2026