Patient Access Representative III - Per Diem - 139910

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. - 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.

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.

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.