Patient Access Representative - Santa Monica (Part-Time)

University of California - Los Angeles Health; Santa Monica (CA); On-site; USD 42,000 - 55,000; Full time

Job summary

University of California - Los Angeles Health is seeking a Patient Access Representative to pre-register, pre-admit, and admit patients by phone or in person. You will collect accurate demographic information, review insurance benefits, and obtain prior authorizations while interacting with Medicare, Medi-Cal, CCS, and other programs to ensure proper reimbursement.

You will also manage cash collections, verify payer information, and coordinate with hospital staff to support discharge planning

Qualifications

• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS, and related agencies.
• Knowledge of third party payer verification terminology and medical terminology to identify procedures for benefit information.
• Ability to accurately process payments and cash receipts; write concise reports and correspondence.
• Typing speed of 55 WPM and basic math skills; proficient in MS Office (Excel, Word, Outlook).

Responsibilities

• Pre-registers, pre-admits, and admits patients by telephone or in person.
• Collect accurate demographic information and review insurance benefits.
• Obtain prior authorizations and assist with cash collections.
• Interact with Medicare, Medi-Cal, CCS and other programs, and with physicians/office staff.
• Refer cases to internal/external resources for discharge/post-hospital care.
• Coordinate with Utilization Review and Patient Business Services for timely reimbursement.

Skills

Medicare

Medi-Cal

CCS

Payer verification

Medical terminology

Cash handling

MS Office

Typing 55 WPM

Excel

Outlook

Tools

Excel

Word

Outlook

Job description

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

Qualifications

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