Patient Access Representative III - Per Diem - 139910

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)
• Strong communication skills, with the ability to convey complex ideas clearly both verbally and in writing to audiences at all levels
• 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

• Effective communication skills
• Customer service skills
• Medical terminology knowledge
• Insurance and authorization verification
• Knowledge of hospital patient forms
• Knowledge of third party payors

Benefits

Not specified

Pay

Annual Full Pay Range: $72,328 - $72,328 (will be prorated if the appointment percentage is less than 100%)

Hiring Pay Scale: $34.64 / Hour

Schedule

Days, Variable

Application Instructions

If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. This position will all have interchangeable locations between Hillcrest, La Jolla and East Campus Medical Centers based on business needs.