Patient Financial Responsibility Representative

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