Patient Access Representative - Santa Monica

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  JOB DUTIES
  

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 – $35.70/hourly

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  JOB 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 Note: May be subject to test on qualifying skills