Patient Access Representative III
The University of California, San Diego
About this position
Position 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. 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.
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.
Job Location
Other