PSR Supervisor - Authorizations and Referrals

The Supervisor is responsible for referrals and authorizations, billing review and quality assurance, charge capture at the Comprehensive Cancer Center for Bone marrow transplant department, Adult Cancer center clinic, Clinical trials, surgical scheduling, and radiology scheduling. The Authorizations Supervisor is responsible for sustaining an environment of intrinsic good will for the practice while providing optimum services to patients.
This position serves as an Ambulatory Administrative Supervisor and functions under the direction of the Administrative Director for Oncology Services, to supervise a large group of employees and provide accountability for day-to-day operations. The Authorizations Supervisor collaborates with the other Administrative Supervisors within the Comprehensive Cancer Center as well as Nurse Managers, Physician Leaders, the Clinical Director of Oncology Services and the Financial Teams within UC Davis Health including but not limited to: Financial Clearance, Patient Advocacy and Contracting. This position will provide recommendations regarding operational and administrative matters and will monitor and analyze clinic performance reports and make recommendations to improve or enhance clinic performance. #CA-SB

Apply By Date 4/11/2025 by 11:59pm

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• Bachelor's degree in related area and/or equivalent combination of experience/training.
• Experience in supervising administrative staff, managing complex workflows and working on multiple projects within a healthcare setting.
• Supervisory and/or leadership experience.
• Experience with practices and protocols related to medical office procedures, (i.e. medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.).
• Demonstrated ability to work independently with little direction.
• Demonstrated decision-making skills that reflect the ability to supervise a specified unit of workers.
• Must be able to represent assigned unit serving as subject matter expert and resource person for the staff.
• Problem solving skills to independently define issues, create viable solutions and exercise delegated authority to take action for prompt and satisfactory resolution.
• Ability to seek appropriate assistance from others when limit of delegated authority has been reached.
• Interpersonal skills to establish and maintain effective working relationships with all co-workers, consistently interact with patients with patience, courtesy and professionalism, and to effectively respond to individuals who may be angry or upset.
• Ability to project professionalism and poise and be able to instill this attitude in staff.
• Ability to communicate effectively (both orally and in writing) with all levels of staff, patients and providers.
• Interpersonal and organizational skills to interview applicants utilizing effective screening techniques and following UCDH guidelines and standards.
• Ability to objectively and constructively evaluate employee performances relating to specific job description, standards of performance and goals.
• Ability to train, supervise, offer conflict resolution.
• Administer disciplinary action; initiate and follow through with corrective action up to and including dismissal.
• Ability to understand human motivation and needs and encourage employee development and initiative.
• Ability to adjust to changing workload or assignments and pressures of increased workload or deadlines.
• Ability to establish priorities for own work within stated guidelines, demonstrate flexibility toward changes in priorities and maintain work effectiveness in a setting with a high volume of patient activity and frequent interruptions.
• Ability to efficiently use computer system applications for all functions required for this position, including electronic mail, spreadsheets, word processing, and medical office management, (i.e. scheduling, template maintenance, maintenance of demographic and insurance information).
• Administrative skills to oversee daily office operations, participate in development of policies, procedures and systems and handle facility, equipment and supply needs.
• Administrative skills to maintain accurate records of patient financial transactions and prepare related financial reports as applicable.
• Knowledge of all pertinent laws, regulations, and guidelines governing medical records, including confidentiality/HIPAA, privacy, and provision to others.
• Knowledge of healthcare insurance systems, which may include Medi-Cal, Medicare, HMO, PPO, fee-for-service, county-funded coverage, and worker's compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients.
• Knowledge of ICD-10, CPT and HCPCS coding sufficient to identify services performed, including diagnoses, procedures, and supplies.
• Ability to understand and follow industry process improvement methods in order to identify, plan, implement, and measure outcomes.

Preferred Qualifications

• Experience working with Oncology, Bone Marrow Transplant (BMT) and Cellular Therapy programs.
• Experience creating workflows and processes to streamline tasks and responsibilities.
• Experience in training and onboarding new staff.
• Epic EMR knowledge: work queue management, scheduling, registration, insurance/ authorization
• Experience with work queues

Key Responsibilities

• 40% - Administrative and Operations
• 30% - Referrals and Authorizations
• 30% - Billing Support

Department Overview

Involves the management and administration of new patient referrals, patient registration, pre-admissions, scheduling, insurance eligibility and authorization and referral for services. Services are provided within the Cancer Center and Inpatient Hospital. Functions are provided in concert with clinical and business departments across the organization, to ensure efficient patient flow and to maximize revenue collection. Works closely with revenue cycle, patient financial services, and other ambulatory departments to maintain payer requirements, denial prevention, and continuous process improvement.

Department Specific Job Scope

The BMT and Cellular Therapy program encompasses some of the most acute and complex patients within the UCDH system. These patients require multiple authorizations and/or Letters of Agreements for their testing and treatments, all encounters that must adhere to strict timeframes as outlined by the individual payers. In addition to the complexity of the patients and their diagnoses, this program also involves extremely high-dollar accounts, requiring quick action and timely escalations. This is a highly specialized department that requires a dedicated team who have been trained specifically in the nuances of cellular therapies. In addition to the BMT and Cellular Therapy program, this position also supervises the Clinical Trials authorization team. Clinical trials continue to enroll cellular and gene therapy research studies, all which require a supervisor well-versed and skilled in differentiating standard of care from clinical trials in regard to cellular therapies.

POSITION INFORMATION

• Salary or Pay Range: $3,176.25 - $5,858.24
• Salary Frequency: Bi-weekly
• Annual Salary: $82,900 - $152,900
• Salary Grade: Grade 23
• UC Job Title: AMBUL CARE ADMSTN SUPV 2
• UC Job Code: 004171
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100
• Shift (Work Schedule): Days
• Location: Armstrong Building (OTH167)
• Union Representation: No, 99 - Non-Represented (PPSM)
• Benefits Eligible: Yes
• This position is hybrid (mix of on-site and remote work)
• This is not a H-1B Visa opportunity

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

* High quality and low-cost medical plans to choose from to fit your family's needs
* UC pays for Dental and Vision insurance premiums for you and your family
* Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
* Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Access to free professional development courses and learning opportunities for personal and professional growth
* WorkLife and Wellness programs and resources
* On-site Employee Assistance Program including access to free mental health services
* Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
* Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
* Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here
* UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 26-50 lbs - Never 0 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Frequent 3 to 6 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Frequent 3 to 6 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Occasional Up to 3 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

• UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

• Must be willing to work variable days (including weekends), hours and locations as required to meet business needs of the practice.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• The duties or functions of this position include the handling of cash (or cash equivalents)
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements
• Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional 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; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

Diversity, Equity, Inclusion and Belonging

At UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don't just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds and you belong here. As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected. The University of California, Davis 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 or protected veteran status.

For the University of California's Affirmative Action Policy, please visit: https://policy.ucop.edu/doc/4010393/PPSM-20

For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don't meet all the requirements? We still encourage you to apply! #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks