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Posted: 23-Nov-24
Location: Santa Monica, California
Salary: Open
Categories:
Internal Number: 144663073
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
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
