Patient Access Representative III - 139969

Patient Access Representative III

UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.

Under the general guidance of the Access Manager, Patient Access Rep/HAIII; pre-registers, pre-admits, and admits patients by telephone and/or in person. Major duties include: efficiently collect accurate demographic information, review and interpret complex insurance benefits, obtaining prior authorizations, patient estimates, 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, units and departments, and referral of appropriate cases to other internal and external sources to assist patients with discharge/post-hospital care. Interact with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement.

Minimum Qualifications

• A minimum of three (3) years of registration or medical front office experience or equivalent combination of education and experience.
• Thorough knowledge of third-party payers. Demonstrated knowledge of medical terminology.
• Must possess excellent customer service skills.
• Highly proficient with MS Office applications (Excel, Word).
• Possess strong communication skills, with the ability to convey complex ideas clearly both verbally and in writing to audiences at all levels.
• Possess the personal characteristics of professionalism, credibility, commitment to high quality standards, innovation, and accountability.
• Ability to interact effectively with the public, including patients, visitors, clinical and support staff.

Preferred Qualifications

• Patient Access experience in a hospital setting.
• UC San Diego - Extended Studies Intensive Revenue Cycle Course Certificate.
• Experience with insurance and authorization verification.
• Strong knowledge of third party payors including federal, state, and private health plans.
• Bilingual English/Spanish.
• Knowledge of medical terminology.
• Knowledge and articulation of hospital patient forms, as required by JACAHO/GAD, etc.
• Prior cash handling experience.
• Experience completing Birth certificates.

Special Conditions

• Must be able to work various hours, days, shifts, on-call and various locations based on the 24-hour Medical Center's business needs.
• Employment is subject to a criminal background check and pre-employment physical.