Patient Access Representative - Santa Monica

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 join our front desk and admissions team. You will pre-register, pre-admit and admit patients by phone or in person, verify demographics, and confirm insurance benefits.

This role requires knowledge of Medicare, Medi-Cal, CCS and other programs, plus accuracy in payments, authorizations, and coordination with departments to ensure timely reimbursement.

Qualifications

• 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 identify various procedures to obtain optimal benefit information
• Ability to accurately and completely process payments and cash receipts
• Ability to write concise, grammatically correct reports and correspondence
• Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook
• Typist capable of 55 WPM
• Proficient in basic math

Responsibilities

• 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

Skills

Medicare/Medi-Cal reimbursement

Third party payer processes

Typing speed 55 WPM

Basic math

Report writing

Tools

Microsoft Office (Excel, Word, Outlook)

Job description

Press space or enter keys to toggle section visibility

Work Location: Santa Monica, CA, USA

Onsite or Remote

Fully On-Site

Work Schedule

Graveyard shift, with Rotating weekends and Holidays

Posted Date

08/11/2026

Salary Range: $30.13 - 39.75 Hourly

Employment Type

Duration

Indefinite

Job #

32381

Primary Duties and Responsibilities

Press space or enter keys to toggle section visibility

As the Patient Access Representative, you will be responsible for:

• 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

Salary Range: $30.13/hour - $39.75/hour

Job Qualifications

Press space or enter keys to toggle section visibility

We’re seeking an exceptional, self-directed professional with:

• 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

Note: May be subject to test on qualifying skills

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Current/former UC employees are subject to a personnel file review.