Patient Access Representative - Santa Monica

General Information

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Work Location: Santa Monica, USA

Onsite or Remote

Fully On-Site

Work Schedule

a varied schedule, including rotating weekends and holidays

Posted Date

04/17/2024

Salary Range: $27.06 - 35.7 Hourly

Employment Type

2 - Staff: Career

Duration

Indefinite

Job #

15227

Primary Duties and Responsibilities

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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

Salary Range: $27.06 - $35.70/hourly

Job Qualifications

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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