Patient Access Representative III - 139969

About the role

Under the general guidance of the Access Manager, Patient Access Rep/HAIII; pre-registers, pre-admits, and admits patients by telephone and/or in person. Major duties include: efficiently collect accurate demographic information, review and interpret complex insurance benefits, obtain prior authorizations, patient estimates, cash collections, interaction with public assistance programs (i.e., Medi-Cal, CCS), implementation of Medicare requirements, interaction with physicians/office personnel as well as other hospital personnel, units and departments, and 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.

Responsibilities

• Efficiently collect accurate demographic information
• Review and interpret complex insurance benefits
• Obtain prior authorizations, patient estimates, cash collections
• Interaction with public assistance programs (i.e., Medi-Cal, CCS)
• Implementation of Medicare requirements
• Interaction with physicians/office personnel as well as other hospital personnel, units and departments
• Referral of appropriate cases to other internal and external sources
• Interact with hospital departments such as Utilization Review and Patient Business Services
• 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)
• Possess strong communication skills, with the ability to convey complex ideas clearly both verbally and in writing to audiences at all levels
• Possess the personal characteristics of professionalism, credibility, commitment to high quality standards, innovation, and accountability
• Ability to interact effectively with the public, including patients, visitors, clinical and support staff

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

Skills

• Customer service skills
• Communication skills
• Medical terminology knowledge
• Third-party payer knowledge
• MS Office proficiency
• Public interaction skills
• Disability counseling skills

Benefits

Not specified

Pay

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

Hiring Pay Scale: $27.49 - $34.17 / Hour

Schedule

Days, Variable, Variable

Benefits

Not specified

Application Instructions

If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

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

Contact Information

To apply, please visit Apply Now. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.