You’ll need
Certifications
✓Obtaining prior authorizations, cash collections, interaction with public assistance programs (i.e. Medi-Cal, CCS)
749UCLA Health open roles
12support roles open at this facility
Full employer posting
- 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
About the role
Implementation of Medicare requirements, interaction with physicians/office personnel as well as other hospital personnel (i.e.