Lead Revenue Analyst within the Pediatric and California Children’s Services (CCS) Authorization Unit at UCSF Health.
This role functions independently with a strong understanding of revenue cycle operations and provides senior-level lead support for complex financial clearance and authorization activities. The position oversees day-to-day workflow coordination, supports a high-volume authorization operation, and helps secure treatment authorizations for pediatric patient populations across inpatient, NICU, outpatient surgical, and ancillary services.
The lead analyst works closely with revenue cycle leadership, clinical teams, payors, and patients to ensure services are financially secured within required timelines. The role also monitors performance, identifies workflow improvements, supports denials resolution, and contributes to process enhancements that improve patient access and reimbursement outcomes.
This position is based in a patient-centered academic medical center and requires onsite work in Emeryville two days per week or when required.
Qualifications
- High school diploma or GED with 7 years of relevant work experience, or a bachelor's degree with 3 or more years of relevant work experience
- Knowledge of healthcare eligibility and insurance verification processes
- Understanding of hospital and outpatient clinic registration, referral, authorization, and billing processes
- Ability to interpret eligibility information and communicate requirements accurately
- Strong customer service and interpersonal communication skills
- Knowledge of compliance with California Children’s Services (CCS) requirements, hospital policies, HIPAA, and applicable regulatory standards
- Experience with Medi-Cal and other California public healthcare programs
- Experience working with pediatric patients and their families
- Experience with electronic health records and hospital registration or revenue-cycle systems
- Demonstrated knowledge of pediatric authorization requirements and processes, including commercial and government payers such as Medicaid
- Ability to work onsite two days a week or when required in Emeryville
Additional information
- Full-time position
- Benefits mentioned in the posting are subject to negotiation with the appropriate union
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$84,500 - $179,300
Remote work allowed
No
Posted
3 weeks ago