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/hour - $35.70/hour
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
*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