Patient Access & Insurance Authorization Specialist

University of California; Santa Monica (CA); On-site; USD 42,000 - 55,000; Full time

Job summary

University of California is seeking a Patient Access Representative in Santa Monica to pre-register and admit patients by telephone or in person. You will collect accurate demographics, review insurance benefits, obtain prior authorizations, and liaise with public assistance programs such as Medi-Cal and CCS.

You will ensure Medicare requirements are met and assist with discharge planning and reimbursement processes.

Qualifications

• Knowledge of state and federal programs to ensure reimbursement
• Familiarity with third party payer verification terminology
• Understanding of payer follow-up processes and utilization review
• Ability to accurately process payments and cash receipts
• Typing 55 WPM and basic math proficiency

Responsibilities

• Pre-registers, pre-admits, and admits patients by phone or in person
• Collects demographic information and review insurance benefits
• Obtain prior authorizations and interact with public assistance programs
• Coordinate with Medicare, Medi-Cal, CCS and other agencies
• Refer cases to internal/external resources for discharge or post-hospital care
• Coordinate with Utilization Review and Patient Business Services for reimbursement

Skills

Medicare/Medi-Cal knowledge

Payer verification knowledge

Medical terminology

Typing speed 55 WPM

Basic math

Tools

Microsoft Excel

Microsoft Word

Outlook

Job description

University of California is seeking a Patient Access Representative in Santa Monica to pre-register and admit patients by telephone or in person. You will collect accurate demographics, review insurance benefits, obtain prior authorizations, and liaise with public assistance programs such as Medi-Cal and CCS.

You will ensure Medicare requirements are met and assist with discharge planning and reimbursement processes.