Responsibilities

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

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 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 skills

UCLA 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.