Patient Access Representative - Westwood (Part-Time)

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

Job summary

University of California - Los Angeles Health in Los Angeles seeks a Patient Access Representative to pre-register, pre-admit, and admit patients by phone or in person. You will collect demographics and review insurance benefits to ensure proper patient processing.

You will obtain prior authorizations, handle cash collections, and work with Medi-Cal/ CCS and Medicare requirements while coordinating with physicians and hospital staff to optimize reimbursement and discharge planning.

Qualifications

• Typing speed of 55 WPM or faster.
• Knowledge of medical terminology for procedure identification.
• Experience handling cash receipts and payments.
• Proficiency with Microsoft Office (Excel, Word, Outlook).
• Familiarity with state/federal reimbursement programs (Medicare/Medicaid/ CCS).
• Strong written communication skills.

Responsibilities

• Pre-registers, pre-admits, and admits patients by telephone and/or in person.
• Collects accurate demographic information and reviews insurance benefits.
• Obtains prior authorizations and conducts cash collections; interfaces with Medi-Cal, CCS, and other programs.
• Implements Medicare requirements and coordinates with physicians and hospital staff.
• Refers cases to internal/external sources to assist discharge/post-hospital care.
• Interacts with Utilization Review and Patient Business Services to ensure timely reimbursement.

Skills

WPM

Medical terminology

Cash handling

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