Patient Financial Responsibility Representative

University of California; Los Angeles (CA); On-site; USD 44,000 - 69,000; Full time

Job summary

University of California is seeking a detail-oriented team member for the Patient Financial Responsibility unit. Under the general supervision, you will communicate insurance benefits and financial plans to patients and staff to support cost-effective, expedient, and targeted treatment.

Responsibilities include generating pre-service cost estimates, verifying benefits, and collecting payments when applicable, while delivering excellent service to patients, faculty, and external partners.

Qualifications

• Detail-oriented, self-directed professional with strong communication skills.
• Ability to read English training materials and follow policies.
• Capacity to work independently and as part of a team in a demanding environment.

Responsibilities

• Generate pre-service patient responsibility cost estimates and communicate them to patients.
• Verify insurance benefits and eligibility and explain patient liability before appointments.
• Accept pre-service patient payments when applicable and inform patients of financial responsibilities.
• Answer calls and emails, providing excellent customer service to patients, UCLA staff, and vendors.

Skills

Interpersonal skills

Oral communication

Prioritization

Attention to detail

Multitasking

Phone etiquette

Job description

Description

Under the general supervision of the Director of Revenue Cycle Operations Enhancement and Development, you will serve as a team member on the Patient Financial Responsibility team. You will be responsible for understanding and communicating insurance benefits and financial plans to management, colleagues, clinic staff, and/or patients to support the patient in receiving cost-effective, expedient, and targeted treatment. In addition, you will be responsible for the following:

• Generating pre-service patient responsibility cost estimates, communicating estimate information to patients, and accepting pre-service patient payments, when applicable
• Generating cost estimates may include pre-service registration and financial clearance activities, such as verifying insurance benefits and eligibility, determining patient liability information, understanding appropriate authorization/referral requirements for scheduled appointments, and/or informing patients of their financial responsibility before their appointment
• Answering incoming calls to the phone system and/or emails and providing excellent customer service to patients, UCLA faculty/staff, outside vendors, insurance company representatives, and registration representatives

Salary Range: $31.99 - $50.24/hourly

Qualifications

We're seeking detail-oriented, self-directed professional with:

• Interpersonal skills and ability to communicate effectively and diplomatically with patients, staff and physicians; give and receive information, clarify policies, and mediate if necessary with patients, physicians, and technologists
• Ability to accept and carry out oral instructions accurately and work independently as well as a part of a team within a demanding environment
• Ability to prioritize work, handle multiple tasks to completion and make decisions on which course to follow for a particular situation
• Skill in reading and understanding documents such as training manuals written in English
• Skill in speaking clearly and distinctly using appropriate vocabulary and grammar; telephone manners to handle heavy phone work with courtesy and tact
• Ability to work independently and follow through on assignments with minimal direction and supervision
• Skill in employing independent decision-making techniques while performing various job duties
• Skill in prioritizing assignments to complete work in a timely accurate manner
• Knowledge of medical terminology and the ability to distinguish different exams and medical diagnoses
• Knowledge of standard insurance plans (e.g., HMO, PPO, Medicare, Medicaid/MediCal, Workman's Compensation, etc.)
• Ability to read and interpret EOB's
• Knowledge of how CCI edits, multiple procedures, modifiers and bundling affect expected payments from Medicare and health plans
• Understanding of the following front-end Epic applications: Cadence, ADT, and Prelude