Principal Admitting Worker

Principal Admitting Worker 3249928

• Hourly pay: $50.88/hr
• Worksite: Leading medical institution (San Francisco, CA, 94158 - Onsite: 16-32 hours a month onsite)
• W2 Employment, Group Medical, Dental, Vision, Life, Retirement Savings Program, PSL
• 40 hours/week, 3 Month Assignment

A leading medical institution is seeking a Principal Admitting Worker to support high-volume authorization workflows. This role is responsible for securing treatment authorizations, managing complex accounts, and ensuring compliance with Medi-Cal and multi-payer requirements while working independently in a fast-paced environment.

Principal Admitting Worker Responsibilities:

• Manage end-to-end CCS authorization workflows, including submitting Service Authorization Requests (SARs), coordinating with all California CCS counties, and securing approvals for inpatient and outpatient services.
• Perform detailed account analysis by verifying patient demographics, clinical information, insurance eligibility, benefits, and coordination of benefits across complex multi-payer scenarios.
• Handle high-volume authorization workloads, including follow-ups, denials, escalations, and resolution of coverage issues while meeting financial and operational targets.
• Collaborate with case managers, providers, and external stakeholders, including CCS offices and medical directors, to resolve authorization and billing issues.
• Maintain accurate documentation and workflow management within EPIC/APeX systems while ensuring compliance with Medi-Cal, CCS guidelines, and regulatory requirements.

Principal Admitting Worker Qualifications:

• 3+ years of clerical experience, including 2+ years at an Admitting Worker level or comparable role.
• 5+ years of hands-on experience in authorization, financial clearance, or utilization review, with CCS authorization as a primary responsibility.
• Strong knowledge of Medi-Cal, CCS guidelines, government programs, and coordination of benefits across multiple payers.
• Proficiency with EPIC or APeX systems and experience managing authorization workflows and documentation.
• Experience in submitting SARs and working directly with CCS across multiple counties.
• ADT experience.
• Basic medical terminology knowledge and typing/computer proficiency (including PC systems and office tools).

Shift:

• Monday, Friday, 08:00 am- 4:30 pm.

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