Pre-Registration Representative (Part-Time)

University of California - Los Angeles Health; Los Angeles (CA); On-site; USD 42,000 - 60,000; Full time

Job summary

University of California - Los Angeles Health seeks a Pre-Registration Representative to pre-register and pre-admit patients by phone or in person. You will review benefits, assist with cash collections, and coordinate with Medi-Cal/ CCS and Medicare requirements to ensure accurate reimbursement.

Responsibilities include collecting demographic information, interacting with physicians and office staff, and collaborating with Insurance Verification and Financial Counseling teams to support timely

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 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.
• Typing proficiency including 10-key, focusing on accuracy and speed.

Responsibilities

• 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.

Skills

ICD-10 knowledge

CPT-4 knowledge

HCPCS coding knowledge

Authorization submissions

Third-party verification

Medicare/Medi-Cal/CCS knowledge

Prior authorization

Medical terminology

Effective communication

10-key typing

Job description

Description

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

Qualifications

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