Pre-Registration Representative

UCLA Health; Los Angeles (CA); Hybrid; USD 41,000 - 59,000; Full time

Job summary

UCLA Health is seeking a Pre-Registration Representative in Los Angeles to pre-register and pre-admit patients by phone or in person. You will interpret insurance benefits, assist with public programs, and ensure Medicare compliance.

Responsibilities include collecting demographics, coordinating with hospital departments, and supporting accurate reimbursement for services.

Qualifications

• Knowledge of ICD-10, CPT-4, and HCPCS codes as applied to authorization submission and claims reimbursement.
• Knowledge of authorization submission and reimbursement for high cost specialty services and medications.
• Knowledge of medical terminology to identify procedures for optimum benefit information and reimbursement.
• Knowledge of third party payor verification terminology.
• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS, out-of-state Medicaid, or other agencies.
• Knowledge of healthcare insurance and medication prior authorization and basic coding.

Responsibilities

• Pre-registers and pre-admits patients by telephone and/or in person.
• Review and interpretation of insurance benefits, cash collections, and interaction with public assistance programs (e.g., Medi-Cal, CCS).
• Implementation of Medicare requirements.
• Collection of accurate demographic information and interaction with physicians and hospital staff.
• Coordinate with Insurance Verification, Financial Counseling, Utilization Review, and Patient Business Services to ensure accurate reimbursement.

Skills

ICD-10 knowledge

CPT-4 & HCPCS codes

Authorization submission

Medical terminology

Payor verification terminology

Medicare/Medi-Cal/CCS knowledge

Prior authorization

Communication skills

Typing 10-key

Job description

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Onsite or Remote

Flexible Hybrid

Work Schedule

Varied:M-F-rotating weekends and holidays

Posted Date

08/11/2026

Salary Range: $30.36 - 43.49 Hourly

Employment Type

Duration

Indefinite

Job #

32345

Primary Duties and Responsibilities

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As the Pre-Registration Representative, you will be responsible for:

• Pre-registers and pre-admits patients by telephone and/or in person


• Review and interpretation of insurance benefits, cash collections, interaction with public assistance programs (i.e. Medi-Cal, CCS)


• Implementation of Medicare requirements


• Collection of accurate demographic information and interaction with physicians/office personnel as well as other hospital personnel (i.e., PTU, IOU, nursing units)


• Interact with hospital departments such as Insurance Verification, Financial Counseling, Utilization Review and Patient Business Services to ensure correct and timely reimbursement

Salary Range: $30.36-$43.49 /hourly

Job Qualifications

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

• Knowledge of ICD-10, CPT-4, and HCPCS codes as applied to authorization submission and claims reimbursement


• Knowledge of authorization submission and reimbursement for high cost specialty services and medication administration


• Knowledge of medical terminology to sufficiently identify various procedures to obtain optimum benefit information and reimbursement


• Knowledge of third party payor verification terminology


• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agencies


• Knowledge of healthcare insurance and medication prior authorization & basic working knowledge of coding


• Strong oral and written communications skills


• Skill in typing proficiently including 10-key, focusing on accuracy and speed

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.