Patient Access Representative III - 139225

About the role

UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world — one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients.

Responsibilities

• Efficiently collect accurate demographic information
• Review and interpret complex insurance benefits
• Obtain prior authorizations, patient estimates, and cash collections
• Interact with public assistance programs (e.g., Medi-Cal, CCS)
• Implement Medicare requirements
• Interact with physicians/office personnel as well as other hospital personnel, units, and departments
• Referral of appropriate cases to other internal and external sources to assist patients with discharge/post-hospital care
• Ensure correct and timely reimbursement through interactions with hospital departments such as Utilization Review and Patient Business Services

Requirements

• A minimum of three (3) years of registration or medical front office experience or equivalent combination of education and experience
• Thorough Knowledge of third-party payers
• Demonstrated knowledge of medical terminology
• Excellent customer service skills
• Highly proficient with MS Office applications (Excel, Word)
• Strong communication skills, with the ability to convey complex ideas clearly both verbally and in writing to audiences at all levels
• Professionalism, credibility, commitment to high quality standards, innovation, and accountability
• Ability to interact effectively with the public, including patients, visitors, clinical and support staff

Preferred Qualifications

• Patient Access experience in a hospital setting
• UC San Diego - Extended Studies Intensive Revenue Cycle Course Certificate
• Experience with insurance and authorization verification
• Strong knowledge of third party payors including federal, state, and private health plans
• Bilingual English/Spanish
• Knowledge of medical terminology
• Knowledge and articulation of hospital patient forms, as required by JACAHO/GAD, etc.
• Prior cash handling experience
• Experience completing Birth certificates

Special Conditions

• Must be able to work various hours, days, shifts, on-call and various locations based on the 24-hour Medical Center's business needs
• Employment is subject to a criminal background check and pre-employment physical

Pay

Annual Full Pay Range: $57,399 - $71,347 (will be prorated if the appointment percentage is less than 100%)

Schedule

This position is a part-time appointment.