Authorization Coordinator

Overview

Location:

Rancho Bernardo, 16950 Via Tazon, San Diego, CA 92127, United States

Title: Authorization Coordinator

Filing Deadline: Thu 2/19/2026

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The Insurance Authorization Coordinator and Patient Biller - Interventional Psychiatry is responsible for the full range of third party and patient authorization and billing duties. The Authorization Coordinator will work closely with a multidisciplinary team of psychiatric providers, nurses, and TMS techs to oversee insurance authorization for patients with treatment-resistant mental health disorders for three main outpatient procedural services:
Transcranial Magnetic Stimulation, Esketamine/Ketamine, and Electroconvulsive Therapy. Responsibilities include comprehensive knowledge of medical insurance and state and federal rules related to billing insurance claims, claims appeals, and familiarity with ICD-9, CPT, HCPCS coding principles. Knowledge in self-pay collections and mandated charity laws is required. Knowledge of medical/surgical terminology and accounting/cash handling principles. Responsible for working system-generated claims, edits, attaching records and operative reports, and generating system reports.

Responds to billing inquiries from patients, insurance companies, and departments. Identifies and resolves issues regarding account adjustments, re-billing insurance, and/or collecting from patients as appropriate. The Medi-Cal Patient Biller responsibilities include Medi-Cal billing, collection and denial duties (FFS Medi-Cal, Medi-Cal Managed Care, CMS, GHPP, CCS, Ryan White, Sheriff billing/collections).

• Minimum five (5) years relevant experience preferred in a hospital setting or medical insurance.
• Knowledge of behavioral health insurance carve-outs.
• State and Federal rules and regulations related to billing Insurance Claims.
• Demonstrated knowledge in self-pay collections.
• Thorough knowledge of UB04 and revenue codes as it pertains to billing.
• Extensive knowledge in insurance claims appeals, and knowledge of ICD-9, CPT, HCPCS coding principles.
• Knowledge of hospital payer contracts and reimbursement methodologies including per diem, fee schedule, case rate and DRG's.

• EDX, Siemens, CPT & ICD9 Medical Coding Knowledge, EPIC System and MS Outlook.
• Previous hospital billing experience.
• Experience with authorizations for specialty visits and procedures.

• 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.

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).

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.

UC San Diego Health is a smoke- and tobacco-free environment. 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 will disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. References to related UC policies are provided for context.

Applications/Resumes are accepted for current job openings only. For full consideration, 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.