Patient Access & Reimbursement Specialist

UCLA Health; Santa Monica (CA); On-site; USD 42,000 - 55,000; Full time

Job summary

UCLA Health in Santa Monica, CA is seeking a Patient Access Representative to pre-register, pre-admit and admit patients by phone or in person, while collecting accurate demographics and verifying insurance benefits.

The role includes obtaining prior authorizations, cash collections, and assisting public assistance programs, with interaction across hospital departments to ensure timely reimbursement and compliance with Medicare and Medi-Cal requirements.

Qualifications

• Knowledge of state and federal programs for reimbursement (Medicare/ Medi-Cal/ CCS).
• Ability to interpret third-party payer information and eligibility.
• Ability to process payments and cash receipts accurately.
• Proficiency with basic math and numeric accuracy.

Responsibilities

• Pre-registers, pre-admits, and admits patients by phone or in person.
• Verify demographics and review insurance benefits for accuracy.
• Obtain prior authorizations and assist with public assistance programs.
• Communicate with physicians and hospital staff to ensure timely reimbursement.
• Assist discharge planning and coordinate with internal departments as needed.

Skills

Customer service

Attention to detail

Communication

Cash handling

Policy interpretation

Tools

Microsoft Excel

Microsoft Word

Outlook

Job description

UCLA Health in Santa Monica, CA is seeking a Patient Access Representative to pre-register, pre-admit and admit patients by phone or in person, while collecting accurate demographics and verifying insurance benefits.

The role includes obtaining prior authorizations, cash collections, and assisting public assistance programs, with interaction across hospital departments to ensure timely reimbursement and compliance with Medicare and Medi-Cal requirements.