Patient Access Representative Jobs

About The Position

Requirements

• High school diploma, GED, or equivalent.
• Flexibility to orient and work at all UCSF Health locations.
• Demonstrated strong customer service skills.
• Prior healthcare, insurance-related, or comparable experience.
• Ability to analyze information, solve problems, and recommend improvements.
• Ability to manage multiple priorities in a fast-paced environment.
• Ability to follow instructions and work quickly and accurately.
• Basic computer skills, including proficiency with Microsoft Office and typing at least 30 words per minute.
• Strong verbal and written communication skills.
• Ability to communicate effectively with a culturally diverse patient, family, and staff population.
• Ability to work independently with minimal supervision.

Nice To Haves

• Two years of healthcare, insurance-related, or comparable experience.
• Knowledge of health insurance eligibility and authorization requirements.
• Experience with Epic and Admissions, Discharges, and Transfers (ADT).
• Second language proficiency.
• Previous experience in a hospital, insurance payer, or physician office setting.
• Basic knowledge of medical terminology.
• Knowledge of government programs including Medi-Cal, Medicare, MIA, CCS, and other third-party payors.

Responsibilities

• Greet patients upon arrival to the Emergency Department via walk-in or ambulance.
• Complete patient check-in and registration for inpatient and outpatient services, including required regulatory documentation.
• Provide information and respond to patient and family inquiries.
• Interview patients to verify demographic and insurance information.
• Document required registration information and verify insurance eligibility.
• Complete registration and admission processing for Emergency Department and Birth Center patients requiring admission.
• Maintain and update the Emergency Department on-call board.
• Verify patient identity using required patient identifiers and follow Red Flag protocols.
• Document patients' and approved visitors' preferred language.
• Coordinate communication among patients, families, visitors, physicians, and Medical Center departments.
• Collaborate with Central Patient Placement on bed assignments.
• Assist in training new staff members.
• Coordinate access to additional patient and family resources, including patient relations, spiritual care, social work, and community services.
• Distribute available patient and visitor amenities when appropriate.
• Confirm patient copay and deductible amounts and make reasonable collection attempts.
• Coordinate interpreter services and facilitate language assistance resources.
• Assist with activation of emergency response teams through established communication systems.
• Maintain access to required hospital systems and insurance portals.
• Answer incoming Emergency Department telephone calls and coordinate patient transport as needed.
• Help maintain clean, organized, and presentable patient waiting areas in accordance with infection control policies.
• Demonstrate service excellence by adhering to UCSF Medical Center standards for professionalism, communication, teamwork, respect, integrity, diversity, and excellence.
• Protect patient privacy and maintain confidentiality of protected health information.
• Follow all applicable safety and infection control policies and procedures.
• Respond appropriately during emergency situations and disaster procedures.
• Work flexible schedules, including weekends, holidays, overtime, and alternate shifts as operational needs require.
• Meet departmental productivity and accuracy standards.
• Perform additional duties and special projects as assigned by the supervisor.
• Uphold departmental dress standards and appropriate identification.
• Help mitigate difficult patient, family, or visitor situations in coordination with Security and Hospital Supervisors.