Patient Access & Insurance Eligibility Specialist

UCLA Health; Santa Monica (CA); Vor Ort; USD 42.000 - 55.000; Vollzeit

Zusammenfassung

UCLA Health seeks an experienced Patient Access Representative in Santa Monica, CA to pre-register, collect demographics, verify insurance benefits, obtain authorizations, and assist patients with discharge planning. You will interact with hospital departments to ensure timely reimbursement and coordinate with public assistance programs as needed.

The role requires strong knowledge of Medicare/Medicaid programs, third-party payer processes, proficiency in typing 55 WPM, and solid experience with

Qualifikationen

• 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 and
• 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

Aufgaben

• Pre-registers, pre-admits, and admits patients by telephone and/or in person
• Collection of accurate demographic information, review and interpretation of insurance benefits
• Obtaining prior authorizations, 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 (i.e., SDA, OPSU, nursing units)
• Referral of 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

Kenntnisse

Medicare/Medi-Cal knowledge

Third-party payer verification

Medical terminology

Cash handling

Typing 55 WPM

Tools

Excel

Word

Outlook

Microsoft Office Suite

Jobbeschreibung

UCLA Health seeks an experienced Patient Access Representative in Santa Monica, CA to pre-register, collect demographics, verify insurance benefits, obtain authorizations, and assist patients with discharge planning. You will interact with hospital departments to ensure timely reimbursement and coordinate with public assistance programs as needed.

The role requires strong knowledge of Medicare/Medicaid programs, third-party payer processes, proficiency in typing 55 WPM, and solid experience with