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General Information

Work Location: Los Angeles, CA, USA
Onsite or Remote
Fully On-Site
Work Schedule
Varied shift, with rotating weekend and holidays
Posted Date
12/18/2024
Salary Range: $28.41 - 37.49 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
21026

Primary Duties and Responsibilities

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

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