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General Information

Work Location: Los Angeles, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Varied Shift
Posted Date
10/29/2024
Salary Range: $29.42 - 42.14 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
20250

Primary Duties and Responsibilities

As the Pre-Registration Representative, you will be responsible for:

  • Pre-registers and pre-admits patients by telephone and/or in person
  • Review and interpretation of insurance benefits, cash collections, interaction with public assistance programs (i.e. Medi-Cal, CCS)
  • Implementation of Medicare requirements
  • Collection of accurate demographic information and interaction with physicians/office personnel as well as other hospital personnel (i.e., PTU, IOU, nursing units)
  • Interact with hospital departments such as Insurance Verification, Financial Counseling, Utilization Review and Patient Business Services to ensure correct and timely reimbursement
Salary Range: $29.42-$42.14/hourly

Job Qualifications

We’re seeking a self-directed, detail-oriented professional with:

  • Knowledge of ICD-10, CPT-4, and HCPCS codes as applied to authorization submission and claims reimbursement
  • Knowledge of authorization submission and reimbursement for high cost specialty services and medication administration
  • Knowledge of medical terminology to sufficiently identify various procedures to obtain optimum benefit information and reimbursement
  • Knowledge of third party payor verification terminology
  • Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agencies
  • Knowledge of healthcare insurance and medication prior authorization & basic working knowledge of coding
  • Strong oral and written communications skills
  • Skill in typing proficiently including 10-key, focusing on accuracy and speed

Note: May be subject to test on qualifying skills


As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.