Skip to content

Main menu. Press enter or space keys to expands and escape key to collapse

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