Martinsburg, West Virginia, West Virginia
West Palm Beach, Florida, Florida
Red Bank, New Jersey
Jackson, Mississippi
Jackson, Mississippi
Northern, Minnesota
Ocean County, New Jersey
Bothell, Washington
New Orleans Suburb, Louisiana
Bonham, Texas
Stockton, California
Salisbury, North Carolina, North Carolina
Philadelphia, Pennsylvania
Franklin, Kentucky
St. Thomas,
Boston, Massachusetts
Santa Rosa, California
San Luis Obispo, California
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
