Patient Access Representative

1 month ago


Los Angeles, United States University of California Full time

Description As the Patient Access Representative, you will be responsible for: Pre-registering, pre-admitting, and admitting patients by telephone and/or in person. Collecting accurate demographic information and reviewing and interpreting insurance benefits. Obtaining prior authorizations, cash collections, and interacting with public assistance programs (i.e., Medi-Cal, CCS). Implementing Medicare requirements and interacting with physicians/office personnel as well as other hospital personnel (i.e., SDA, OPSU, nursing units). Referring appropriate cases to other internal and external sources to assist patients with discharge/post-hospital care. Interacting with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement. Salary Range: $27.06/hour - $35.70/hour Qualifications We're seeking an exceptional, self-directed professional with: Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agencies. Knowledge in the functional operations of third-party payers and utilization review agencies to expeditiously coordinate follow-up. Working knowledge of third-party payer verification terminology. Working knowledge of medical terminology to sufficiently identify various procedures to obtain optimum benefit information. Ability to accurately and completely process payments and cash receipts. Ability to write concise, grammatically correct reports and correspondence. Ability to type 55 words per minute (WPM). Proficient in basic math. Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook. Note: May be subject to test on qualifying skills. #J-18808-Ljbffr



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