Job Abstract

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

Salary Range: $27.06 - $35.70/hourly

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 

·       Ability to accurately and completely process payments and cash receipts

·       Ability to write concise, grammatically correct reports and correspondence

·       Ability to type 55 words per minute (WPM)

·       Proficient in basic math

·       Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook

Note: May be subject to test on qualifying skills