CrawlJobs Logo

Patient Access Representative III

ucsd.edu Logo

UC San Diego

Location Icon

Location:
United States , San Diego

Category Icon
Category:
Customer Service

Job Type Icon

Contract Type:
Employment contract

Salary Icon

Salary:

57399.00 - 71347.00 USD / Year ▼
Save Job
Save Icon
Apply Position

Job Description:

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.

Job Responsibility:

  • Pre-registers, pre-admits, and admits patients by telephone and/or in person
  • 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
  • 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

Requirements:

  • 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

Nice to have:

  • 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

Additional Information:

Job Posted:
May 17, 2026

Expiration:
May 26, 2026

Employment Type:
Parttime
Work Type:
On-site work
Icon
UC San Diego - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Patient Access Representative III

Patient Access Representative III

Baptist Health is currently hiring for a Patient Access Rep III to join our Pati...
Location
Location
United States , Jacksonville
Salary
Salary:
Not provided
baptistjax.com Logo
Baptist Health (Florida)
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma/GED
  • 1-2 years Customer Service Experience
  • 1-2 years Insurance Experience
  • 1-2 years Healthcare Experience
  • Certified Healthcare Access Associate (CHAA) Preferred
  • Bachelor's Degree Preferred
Job Responsibility
Job Responsibility
  • Registering patients accurately and efficiently
  • Utilizing multiple systems and interfaces
  • Cross-Training to work in multiple patient access areas
  • Maintaining service excellence to patients and visitors for face-to-face and telephonic encounters
  • Contributing to PAS Goals as defined annually
  • Possessing a strong understanding of State and Federal regulations including EMTALA, AHCA, and JCAHO
  • Maintaining a professional relationship with all clinical and non-clinical team members
  • Being able to articulate compliance documentation and ensure completion of required patient consent forms
  • Maintaining patient privacy in accordance with HIPAA guidelines
  • On Call Team during week-long rotations
  • Parttime
Read More
Arrow Right

Patient Access Representative III

As a Patient Access Representative, you will manage administrative duties for th...
Location
Location
United States , Houston
Salary
Salary:
20.46 - 28.90 USD / Hour
americannursingcare.com Logo
American Nursing Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma/GED
  • Two (2) years of related experience
  • Extended knowledge of HMO’s, PPO’s, Commercial/Governmental payers and System/Entity specific hospital contracts with Third Party payers
  • Extended knowledge of HIPPA and EMTALA
Job Responsibility
Job Responsibility
  • Obtains detailed patient insurance benefit information
  • Discusses benefits and other financial issues with patients and/or family members during initial evaluation
  • Advises patients on insurance and billing issues and options
  • Serves as a resource for patients and their family members on financial matters
  • Coordinates all necessary payer authorizations
  • Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting
  • Assists patients and their families with questions concerning insurance and other financial issues
What we offer
What we offer
  • medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings
  • Fulltime
Read More
Arrow Right

Outpatient Access Representative III

Coordinates activities of Outpatient Access employees. Acts as a resource to sta...
Location
Location
United States of America , Rochester
Salary
Salary:
18.71 - 25.27 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School diploma and 2 years' experience in an administrative capacity or customer service field required
  • Medical terminology experience required
  • Demonstrated customer relations skills preferred
Job Responsibility
Job Responsibility
  • Coordinates activities of Outpatient Access employees
  • Acts as a resource to staff performing those functions in a clinic setting
  • Monitors and ensures that all functions are completed in an accurate, efficient, and customer friendly manner
  • Coordinates all staff training activities
  • Assists clinic leadership through various aspects of operational support
  • Performs duties of Outpatient Access as required by departmental needs
  • Sets the standard for customer service, accuracy, and efficiency in the Outpatient Access work areas
  • May take on one or more specialized functions, as assigned, including Human Resources, Prior Authorizations, Referral Coordinator, or Direct Provider Support
  • Identifies, implements and monitors operational changes to improve clinic functioning
  • Updates and creates new policies and procedures
  • Fulltime
Read More
Arrow Right

Outpatient Access Representative III

Coordinates activities of Outpatient Access employees. Acts as a resource to sta...
Location
Location
United States of America , Rochester
Salary
Salary:
19.08 - 25.77 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School diploma and 2 years' experience in an administrative capacity or customer service field required
  • Medical terminology experience required
  • Demonstrated customer relations skills preferred
Job Responsibility
Job Responsibility
  • Coordinates activities of Outpatient Access employees
  • Acts as a resource to staff performing functions in a clinic setting
  • Monitors and ensures all functions are completed accurately, efficiently, and in a customer friendly manner
  • Coordinates all staff training activities
  • Assists clinic leadership through various aspects of operational support
  • May assist with lead duties such as personnel related matters, including performance evaluations
  • May be the front office eRecord superuser
  • Assist with workflow design and implementation
  • Serve as the front office expert supporting referral coordination, prior authorizations
  • Be assigned as main provider support
  • Fulltime
Read More
Arrow Right

Pharmacy Access Representative III - Specialty Pharmacy

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
21.71 - 29.31 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate’s degrees in a Medical, Secretarial, or related field and 4 years of relevant experience required
  • Capable of working independently with minimum supervision required
  • Strong communication skills, problem-solving abilities, and professional presentation required
  • Demonstrated customer relations skills required
  • Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required
  • Completed ASHP-accredited training program or equivalent experience as a pharmacy technician preferred
  • Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements preferred
Job Responsibility
Job Responsibility
  • Manages medication coordination and removal of barriers that prevent patients from receiving their medications
  • Communicates with the prescriber’s office to acquire necessary information to submit prescriptions to the patient’s insurance for approval including prior authorization
  • Helps enroll patients in financial assistance programs and arrange timely delivery of the medication
  • Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care
  • Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s)
  • Analyzes patients that are receiving high-cost medications for potential participation in PAPs
  • Coordinates with the patient and/or family to obtain necessary information
  • Enrolls patients in PAPs
  • Submits all required documentation to the PAP throughout the duration of treatment
  • Understands and manages the payment process specific to each PAP
  • Fulltime
Read More
Arrow Right

Pharmacy Access Representative III

Manages medication coordination and removal of barriers that prevent patients fr...
Location
Location
United States of America , Rochester
Salary
Salary:
21.71 - 29.31 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree in a Medical, Secretarial or related field and 4 years of relevant experience required
  • Or equivalent combination of education and experience
  • Capable of working independently with minimum supervision required
  • Strong communication skills, problem-solving abilities, and professional presentation required
  • Demonstrated customer relations skills required
  • Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required
  • Completed ASHP-accredited training program or equivalent experience as a pharmacy technician upon hire preferred
  • Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements upon hire preferred
Job Responsibility
Job Responsibility
  • Manages medication coordination and removal of barriers that prevent patients from receiving their medications
  • Communicates with the prescriber's office to acquire necessary information to submit prescriptions to the patient's insurance for approval including prior authorization, and helps enroll patients in financial assistance programs and arrange timely delivery of the medication
  • Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care
  • Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s)
  • Analyzes patients that are receiving high-cost medications for potential participation in PAPs, and identifies the best options for the patient given their overall circumstances
  • Coordinates with the patient and/or family to obtain necessary information, including income information and other personal details, as well as to present PAP options to the patient/family when there are multiple options
  • Enrolls patients in PAPs using the needed permission and information, follows up to determine the status of the application, and ensures proper documentation of this process
  • Submits all required documentation to the PAP throughout the duration of treatment to verify that payment for each prescription refill is still active
  • Understands and manages the payment process specific to each PAP, and ensures that payments are properly accounted for the correct patient and correct patient encounter
  • Meets or discusses with the patient and/or family the status of PAP eligibility on an as-needed basis if coverage changes during treatment duration
  • Fulltime
Read More
Arrow Right

Physician Support Rep III

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
19.62 - 26.49 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma required
  • Minimum of 2 years of relevant experience required
  • or an equivalent combination of education and experience
  • Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records, preferred
  • Demonstrated customer relations skills
Job Responsibility
Job Responsibility
  • Performs complex secretarial and administrative duties, in a fast-paced environment with minimal direction and considerable latitude for independent judgment in support of the Pulmonary Clinic
  • Serves as primary contact for providers, manages calendar when applicable, manages providers clinic schedule based on provider templates and preferences for the Pulmonary Procedure Team
  • Reviews the clinical schedules on a continuous basis to identify for optimizing the time and effort of the providers
  • Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations
  • Researches patient medical record for information requested by physicians, insurance companies and attorneys
  • Edits and completes incoming form requests for provider signature
  • Manages and edits provider procedure calendars
  • Receives incoming patient telephone calls for attending (s), fellow (s) and nurse practitioner(s) via eRecord or Access Center transfer call, managing and/or resolving various scheduling/coordination issues and answering questions as needed
  • Reviews electronic chart work queues, in baskets and pools for continual management and triaging
  • Schedules outgoing referral requests, which are time sensitive
  • Fulltime
Read More
Arrow Right
New

It Business Analyst

Our team is looking for a dynamic IT Business Analyst to join a prominent leader...
Location
Location
Canada , Montreal
Salary
Salary:
Not provided
https://www.randstad.com Logo
Randstad
Expiration Date
July 11, 2026
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in IT, Business, or a related field (or an equivalent blend of education and professional experience)
  • Minimum of 2+ years of experience in an IT Business Analyst role
  • Proven track record working within Agile/Scrum environments
  • Hands-on experience with Enterprise Software Packages (knowledge of Guidewire is considered a significant asset)
  • Technical proficiency in JIRA, Confluence, and BPMN mapping
  • Strong background in the insurance or financial services industry
  • Fluent in English (both spoken and written)
Job Responsibility
Job Responsibility
  • Lead and facilitate collaborative workshops to extract, define, and validate technical specifications
  • Conduct thorough impact assessments and effort estimations to propose and document robust IT solutions
  • Support the Product Owner in managing and prioritizing the product backlog to ensure maximum value delivery
  • Craft clear, actionable 'user stories' tailored for development and QA teams
  • Actively participate in integrated testing phases alongside business stakeholders and IT specialists
  • Build and safeguard high-quality functional documentation that remains accessible and accurate for all stakeholders
  • Map existing software package functionalities to business needs to optimize system performance
What we offer
What we offer
  • Hybrid Work Schedule: 2 days per week at the office
  • Long-term Stability: 12-month initial mandate with high potential for extension
  • Innovative Culture: Work with modern Agile methodologies and industry-leading software packages
  • Professional Growth: Opportunity to deepen expertise in insurance-tech sector
Read More
Arrow Right