Clinical Services Support Specialist
- Full-Time
Internal: Internal applicants will be considered within the first five (5) business days of the posting period.
External: External applicants will be considered on the sixth (6) business day of the posting period.
- Oversee and refine billing and insurance claims processes. This includes determining specific insurance coverage and patient eligibility, obtaining authorizations, preparing and reconciling insurance claims, and managing physician referrals.
- Ensure adherence to all insurance rules and regulations during bill collection, prepare patient bills, and conduct point-of-sale collections as needed.
- Track, receive, and post payments, maintaining polite, prompt, and persistent communication with insurance carriers and patients to pursue payments.
- Escalate overdue invoices to collection agencies when necessary.
- Develop and manage reports to ensure billing accuracy for supervisors and/or faculty.
- Conduct quarterly financial reporting to provide insights into clinic financial health.
- Manage and maintain insurance and third-party provider and facility credentialing, including Medicare and Medi-Cal, ensuring compliance, and facilitating seamless billing processes.
- Manage ProCard purchases and payments, ensuring efficient management of clinical supplies and financial transactions.
- Implement and maintain systems for the streamlined processing of worker's compensation and medical-legal cases.
- Maintain responsibility for administrative tasks, including clinical supplies purchasing, equipment, and facility maintenance.
- Perform other related duties as assigned including occasional front-desk reception duties, including answering phones, emails, and patient check-in.
- Two (2) years of post-high school education. (Two (2) years of full-time experience in same/similar position is equal to one (1) year of post-high school education).
- Two (2) years of responsible administrative experience, with billing processes, insurance verification, and financial management.
- Experience in Microsoft office (Word, PowerPoint, Excel, and Outlook email).
- Certification in medical billing and coding or similar credentials.
- Ability to assume responsibility and work effectively with minimum supervision.
- Strong experience in point-of-sale systems or billing software.
- Excellent customer service skills and experience in patient service.
- Intermediate to advanced skills in MS Office suite with the ability to adapt to emerging technology.
- Familiarity with basic budget and bookkeeping procedures, legal compliance with HIPAA, insurance collection policies, and all other practice-related protocols.
- Experience and sensitivity in working with people of diverse backgrounds and cultures.
- Demonstrated experience in advancing social justice, equity, and inclusion in a university setting.
- Ability to engage and integrate culturally responsive practices and knowledge in their work.
Requires extended periods of sitting and repetitive hand/wrist motion while using computer keyboard and phone. Occasional standing, walking (or "walking across campus," if applicable), climbing stairs, bending, stooping, and reaching. Occasional lifting up to twenty-five (25) pounds.
Work Environment/Work Week/Travel:
Work performed during standard business hours. May require occasional evening and weekend hours to complete tasks.
University of the Pacific is an affirmative action and equal opportunity employer dedicated to workforce diversity. In compliance with applicable law and its own policy, Pacific is committed to recruiting and retaining a diverse faculty and staff and does not discriminate in its hiring of faculty and staff, or in the provision of its employment benefits to its faculty and staff on the basis of race, color, religion, national origin, ancestry, age, genetic information, sex/gender, marital status, military and veteran status, sexual orientation, medical condition, pregnancy, gender identity, gender expression, or mental or physical disability.
Address
University of the Pacific
San Francisco, CAIndustry
Healthcare
Posted date
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