Patient Access Representative III - 140520

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
• 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

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. Must possess 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.

Requirements

Preferred Qualifications: Patient Access experience in a hospital setting. UCSD 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.

Qualifications

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. Must possess 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.

Skills

Highly proficient with MS Office applications (Excel, Word). Excellent customer service skills. Strong communication skills, with the ability to convey complex ideas clearly both verbally and in writing to audiences at all levels. Ability to interact effectively with the public, including patients, visitors, clinical and support staff. Knowledge of medical terminology. Knowledge and articulation of hospital patient forms, as required by JACAHO/GAD, etc.

Benefits

N/A

Pay

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

Schedule

Days, Variable, Variable