Patient Access Representative III - 141983

University of California - San Diego Medical Centers; San Diego (CA); On-site; USD 61,000 - 80,000; Full time

Job summary

UC San Diego Health’s Revenue Cycle department supports quality patient care and a healthier world. The Patient Access role pre-registers, pre-admits, and admits patients by phone or in person, collecting demographics, interpreting benefits, obtaining authorizations, and coordinating referrals across hospital units.

This on-site position requires exceptional customer service, strong MS Office skills, and knowledge of third-party payers.

Qualifications

• Three years of registration or medical front office experience, or equivalent.
• Thorough knowledge of third-party payers and medical terminology.
• Excellent customer service skills.
• Proficiency with MS Office (Excel, Word).
• Strong written and verbal communication, able to convey complex ideas.
• Professionalism, credibility, commitment to high quality standards, innovation, accountability.
• Ability to interact with public including patients, visitors, staff.

Responsibilities

• Pre-registers, pre-admits, and admits patients by phone or in person.
• Review and interpret insurance benefits and obtain prior authorizations.
• Provide patient estimates and handle cash collections.
• Coordinate with public assistance programs (Medi-Cal, CCS) and Medicare requirements.
• Interact with physicians and hospital departments to ensure correct reimbursement.

Skills

Customer service

Communication skills

MS Office proficiency

Tools

Excel

Word

Job description

Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance.

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

DESCRIPTION

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.

Under the general guidance of the Access Manager, Patient Access Rep/HAIII; pre-registers, pre-admits, and admits patients by telephone and/or in person. Major duties include: efficiently collect accurate demographic information, review and interpret complex insurance benefits, obtaining prior authorizations, patient estimates, 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, units and departments, and referral of appropriate cases to other internal and external sources to assist patients with discharge/post-hospital care. Interact with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement.

MINIMUM QUALIFICATIONS

• A minimum of three (3) years of registration or medical front office experience or equivalent combination of education and experience.
• Thorough Knowledge of third-party payers. Demonstrated knowledge of medical terminology.
• Must possess excellent customer service skills.
• Highly proficient with MS Office applications (Excel, Word).
• Possess strong communication skills, with the ability to convey complex ideas clearly both verbally and in writing to audiences at all levels.
• Possess the personal characteristics of professionalism, credibility, commitment to high quality standards, innovation, and accountability.
• Ability to interact effectively with the public, including patients, visitors, clinical and support staff.

PREFERRED QUALIFICATIONS

• Patient Access experience in a hospital setting.
• UC San Diego - Extended Studies Intensive Revenue Cycle Course Certificate.
• Experience with insurance and authorization verification.
• Strong knowledge of third party payors including federal, state, and private health plans.
• Bilingual English/Spanish.
• Knowledge of medical terminology.
• Knowledge and articulation of hospital patient forms, as required by JACAHO/GAD, etc.
• Prior cash handling experience.
• Experience completing Birth certificates.

SPECIAL CONDITIONS

• Must be able to work various hours, days, shifts, on-call and various locations based on the 24-hour Medical Center's business needs.
• Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act

Annual Full Pay Range: $60,865 - $80,304 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $29.15 - $38.46

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).