Patient Access Representative (Career) - UCLA West Valley Medical Center
UCLA Health Systems
Posted Wednesday, April 30, 2025
Posting ID: 24001
West Hills, CA
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Description
As the Patient Access Representative, you will be responsible for:
Job Qualifications
Qualifications
We're seeking an exceptional, self-directed professional with:
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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
Job Qualifications
Qualifications
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 reimbursement
- 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
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The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
On-SiteOperations
Microsoft Excel
Microsoft Office
Patient Assistance
Medicare
Microsoft Outlook
Medicaid
General Mathematics
Medical Terminology
Utilization Management
Cash Collection
Cash Receipts
Self-Discipline
Demography
