Patient Access Representative - Westwood (Part-Time)

University of California • Los Angeles, CA

102d • $28 - $37

About The Position

As the Patient Access Representative, you will be responsible for pre-registering, pre-admitting, and admitting patients by telephone and/or in person. This role involves the collection of accurate demographic information, review and interpretation of insurance benefits, and obtaining prior authorizations. You will also handle cash collections and interact with public assistance programs such as Medi-Cal and CCS. Additionally, you will implement Medicare requirements and interact with physicians, office personnel, and other hospital staff including SDA, OPSU, and nursing units. A key part of your role will be to refer appropriate cases to other internal and external sources to assist patients with discharge and post-hospital care. You will also interact with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement.

Requirements

• 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
• Working knowledge of third party payer verification terminology
• Working knowledge of medical terminology to identify various procedures for optimum benefit information
• 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

Responsibilities

• Pre-register, pre-admit, and admit patients by telephone and/or in person
• Collect accurate demographic information
• Review and interpret insurance benefits
• Obtain prior authorizations and handle cash collections
• Interact with public assistance programs (i.e. Medi-Cal, CCS)
• Implement Medicare requirements
• Interact with physicians and office personnel as well as other hospital personnel (i.e., SDA, OPSU, nursing units)
• Refer appropriate cases to other internal and external sources for patient discharge/post-hospital care
• Interact with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Educational Services