Patient Access Representative III

UC San Diego Health; San Diego (CA); On-site; USD 80,000 - 100,000; Full time

Job summary

An innovative healthcare provider is seeking a dedicated Patient Access Representative to join their team at the new McGrath Outpatient Pavilion. This state-of-the-art facility emphasizes patient-centered care and is committed to advancing medical excellence. The role involves pre-registering and admitting patients, ensuring accurate demographic collection, and interacting with various hospital departments to facilitate smooth operations. If you are passionate about providing exceptional service in a fast-paced environment, this opportunity is perfect for you.

Qualifications

• 3+ years of experience in Patient Access or related medical roles.
• Thorough knowledge of third-party payers and medical terminology.

Responsibilities

• Pre-registers and admits patients by phone and in person.
• Collects accurate demographic information and reviews insurance benefits.

Skills

Customer Service

Communication Skills

Medical Terminology

Insurance Verification

MS Office Proficiency

Education

3+ years in Patient Access or related roles

UC San Diego - Extended Studies Intensive Revenue Cycle Course Certificate

Tools

MS Office (Excel, Word)

Job description

Join to apply for the Patient Access Representative III role at UC San Diego Health

5 days ago Be among the first 25 applicants

This range is provided by UC San Diego Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$26.18/hr - $32.54/hr

Join Our Team at the McGrath Outpatient Pavilion, scheduled to open July 2025!

Are you a healthcare professional passionate about providing exceptional care and advancing medical excellence? The McGrath Outpatient Pavilion is seeking dedicated individuals to join our team and help shape the future of outpatient care in our community.

About the McGrath Outpatient Pavilion:

Located in Hillcrest, the McGrath Outpatient Pavilion is a state-of-the-art, 250,000-square-foot medical facility designed to meet the growing healthcare needs of our region. Spanning six floors, this advanced facility is home to key clinical programs and offers specialized diagnostic, treatment, and surgical services. With a strong emphasis on cancer care, we are committed to delivering world-class medical services in a patient-centered environment.

These positions will all have interchangeable locations between Hillcrest, La Jolla and East Campus Medical Centers based on business needs.

Department Overview

UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.

Responsibilities

• Pre-registers, pre-admits, and admits patients by telephone and/or in person under the guidance of the Access Manager.
• Efficiently collect accurate demographic information.
• Review and interpret complex insurance benefits.
• Obtain prior authorizations, patient estimates, and handle cash collections.
• Interact with public assistance programs and implement Medicare requirements.
• Coordinate with physicians, office personnel, and hospital departments.
• Refer cases to appropriate internal and external sources for discharge or post-hospital care.
• Interact with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement.

Minimum Qualifications

• At least three (3) years of experience in Patient Access/Admissions/Registration or related medical front office roles, or equivalent education and experience.
• Thorough knowledge of third-party payers and medical terminology.
• Excellent customer service skills.
• Proficiency with MS Office applications (Excel, Word).
• Strong communication skills, both verbal and written.
• Professionalism, credibility, commitment to quality, innovation, and accountability.
• Effective interaction skills with patients, visitors, and staff.

Preferred Qualifications

• Experience in hospital Patient Access roles.
• UC San Diego - Extended Studies Intensive Revenue Cycle Course Certificate.
• Experience with insurance and authorization verification.
• Knowledge of hospital patient forms and medical terminology.
• Experience completing birth certificates.