Patient Access Representative III - 139879

About the role

This position will all have interchangeable locations between Hillcrest, La Jolla and East Campus Medical Centers based on business needs.

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, hospital personnel, units, and departments
• Referral of appropriate cases to other internal and external sources to assist patients with discharge/post-hospital care
• Interact with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement

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, Benefits & Schedule

Annual Full Pay Range: $57,399 - $71,347 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $27.49 - $34.17 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs.

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