Patient Access Representative III Job at UC San Diego (San Diego)

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-register, pre-admit, and admit patients by telephone and/or in person
Efficiently collect accurate demographic information
Review and interpret complex insurance benefits
Obtain 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

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Patient Access Representative III

Job Description

Job Responsibility

Requirements

Nice to have

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