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ResponsibilitiesAs 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
QualificationsWe'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 reimbursement
Ability to accurately and completely process payments and cash receipts
Ability to write concise, grammatically correct reports and correspondence
Proficient in basic math
Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook
Note: May be subject to test on qualifying skillsUCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.
