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 seeks a Patient Access Representative to handle patient pre-registration, pre-admission, and admission by phone or in person. You will collect demographic data and interpret insurance benefits to support a smooth patient experience.

Responsibilities include obtaining prior authorizations, cash collections, and interfacing with Medi-Cal/CCS; coordinate with Utilization Review and Patient Business Services to ensure timely reimbursement.

Qualifications

• Responsibilities include patient pre-registration and pre-admission over the phone or in person.
• Ability to collect accurate demographic information and interpret insurance benefits.
• Experience with prior authorizations and public assistance programs (e.g., Medi-Cal, CCS).
• Coordinate with Medicare requirements and hospital staff to ensure timely reimbursement.

Responsibilities

• Pre-registers, pre-admits, and admits patients by telephone and/or in person.
• Collects accurate demographic information and interprets insurance benefits.
• Obtains prior authorizations and handles cash collections; interacts with Medi-Cal and CCS.

Job description

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