Gainesville, Georgia
Denver, Colorado
Morris Plains, New Jersey
Sellersville, Pennsylvania
Morristown, New Jersey
Durham, North Carolina
Posted: 15-Apr-26
Location: Los Angeles, California
Categories:
Internal Number: 151789724
Patient Business Services
Support the audit readiness and operational effectiveness of UCLA Health's Audit and Appeals function within Patient Business Services. Reporting to the Audit and Appeals Manager, the Administrative Assistant provides administrative and operational support for regulatory reviews, government audits, and payer appeal workflows. This role tracks correspondence, maintains accurate records, monitors deadlines, and compiles appeal materials across multiple systems and payer portals, playing a key role in ensuring timely and compliant outcomes for Medicare and commercial audit and denial processes.
In this role, you will:
- Review government and commercial payer audit portals, retrieve and distribute audit letters, medical record requests, findings, and determinations, and log, scan, upload, and index correspondence into established tracking systems.
- Compile, scan, and upload appeal packets and supporting documentation, ensuring all materials are indexed and attached to the correct patient and account records.
- Monitor audit logs, portals, and deadlines, perform routine follow-up with payers and regulatory agencies, and escalate time-sensitive issues or discrepancies to leadership as appropriate.
- Track appeal packet status and ensure timely progression through denial workflows, coordinating with Utilization Review, HIMS, Coding, Compliance, and Revenue Integrity to resolve missing or incomplete documentation.
- Review patient and account information to obtain demographic, financial, and audit-related data, and document all audit, review, and appeal activity clearly and accurately in designated systems.
- Maintain complete and organized electronic and paper filing systems in accordance with retention guidelines, ensuring data accuracy and consistency across audit and appeal tracking tools.
- Route audit and non-audit correspondence to appropriate internal stakeholders and respond to routine inquiries from internal departments.
- Assist leadership with audit data compilation, reporting activities, departmental audits, and special projects as assigned.
Salary Range: $26.42 to $37.49 hourly
Required
- High school diploma or equivalent, and/or equivalent combination of education and experience.
- Minimum 2 years of related experience or training in a healthcare, academic, or regulated environment.
- Proficiency in Epic (CareConnect).
- Strong data entry, documentation, and record-keeping skills.
- Ability to manage multiple deadlines in a high-volume, time-sensitive environment.
- Skill in organizing and prioritizing administrative work independently.
- Effective written and verbal communication skills.
- Knowledge of confidentiality, HIPAA, and regulatory compliance requirements.
- Ability to collaborate with internal departments and external agencies.
Preferred
- Knowledge of healthcare revenue cycle, audit, or denial workflows.
- Knowledge of Medicare and payer audit programs.
- Ability to navigate payer and regulatory portals to retrieve correspondence and status updates.
- Ability to research account history and determine appropriate next steps.
- Demonstrated strong Excel skills.
