UCSD Layoff from Career Appointment: Apply by 06/08/21 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 06/18/21. Eligible Special Selection clients should contact their Disability Counselor for assistance.
Under the general guidance of the Access Manager, Patient Access Rep/HAIII; pre-registers, pre-admits, and admits patients by telephone and/or in person. Major duties include: efficiently collect accurate demographic information, review and interpret complex insurance benefits, obtaining prior authorizations, patient estimates, 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, units and departments, and referral of appropriate cases to other internal and external sources to assist patients with discharge/post-hospital care. Interact with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement.
Minimum three (3) years previous admissions/registration experience in a large, complex healthcare setting.
Thorough knowledge of insurance verification, registration, and medical terminology.
Proficient with MS Office: Outlook, Word, and Excel. Computer skills/ability to work between multiple systems accurately and efficiently.
Strong problem solving skills. Ability by using good judgment by applying these skills to assist customers and ensure expectations are met. Solid organizational skills with independent ability to set priorities, meet deadlines, and manage conflicting demands with limited supervision.
Ability to interact effectively with the public, patients, visitors, clinical and support staff. Ability to work in an interactive and collaborative environment. Excellent customer service skills. Self-starter who is accountable and requires minimal direction and supervision.
Excellent communication skills with ability to communicate clearly both verbally and in writing and be able to articulate complex ideas for all levels of audiences.
Possess the personal characteristics of professionalism, credibility, commitment to high standards, innovation, discriminating judgment and accountability.
Ability to maintain strict confidentiality and discretion.
Experience with insurance and authorization verification.
Strong knowledge of third party payors including federal, state, and private health plans.
Knowledge of medical terminology.
Knowledge and articulation of hospital patient forms, as required by JACAHO/GAD, etc.
Prior cash handling experience.
Must be able to work various hours, days, shifts, on-call and various locations based on the 24-hour Medical Center's business needs.
Employment is subject to a criminal background check and pre-employment physical.
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