Insurance Representative aka NOFO/NOFI Representative

Medical Group Business Services

Full Time

78210BR

Job Summary

The Insurance Representative for Not Our Facility Out-pt and In-pt aka "NOFO/NOFI" is responsible for all NOFO/NOFI tasks. The incumbent will be responsible for, but not limited to, the following:

• Analyzing patient demographic registration
• Visit creation
• Insurance Registration
• Chart note scanning, correct DEP selection, and Pseudo code creation for coding work-queue population
• Coordination with various off-site departments, clinics, and hospitals to obtain correct documentation so charge codes can be abstracted from chart notes for billing.

The unit deals regularly with complex policy and procedural issues that involve registration compliance about Medicare, Medic-Cal, CCS, HMO and PPO payers. The Rep must have excellent customer service skills with emphasis on phone etiquette and courteousness. All tasks associated with the NOFO/NOFI unit will be initiated and completed within the EPIC computer system. Other duties include:

• Vision Service Plan charges into the Eyefinity system.
• Handles complex policy and procedural issues that involve contract compliance with regard to HMO and PPO payers.
• Utilize web-based tools, including payor websites.
• Communicate and coordinate with all outside entities to ensure access to their computer systems for the retrieval of appropriate documentation.
• Conform to all UCSF, MGBS, and Government HIPAA policies and procedures.

To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (ucop.edu) Please note: The compensation ranges listed online for roles not covered by a bargaining unit agreement are very wide, however a job offer will typically fall in the range of 80% - 120% of the established mid-point. An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Department Description

Medical Group Business Services (MGBS) is responsible for the professional fee billing and collections for approximately 25 divisions in the School of Medicine. MGBS collects approximately $1B annually and takes ownership for continuing to find ways for the Divisions to ensure charges are captured and increase payments.

Required Qualifications

• High School Diploma or GED
• One or more years of Patient Registration experience working in a doctor's office or a University setting.
• Excellent written and verbal skills
• The ability to work in our Emeryville office when required

Preferred Qualifications

• Bachelor's Degree
• Experience in Epic Software

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California San Francisco 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, age, protected veteran or disabled status, or genetic information.

Organization

Health

Job Code and Payroll Title

004722 BLANK AST 3

Job Category

Accounting / Finance, Administrative Support, Financial, Support Services

Bargaining Unit

Teamsters Local 2010 - Clerical and Allied Services Unit (CX)

Employee Class

Career

Percentage

100%

Location

Emeryville, CA, Flexible (combination of onsite and remote work), Hybrid

Shift

Days

Shift Length

8 Hours

Additional Shift Details

Monday - Friday