Business Services, Certified Coding Specialist (CCS), Credit and Collections, Demographics, Funding, Hospital, Mathematics, Medi-Cal, Medicaid, Medical Office, Medical Terminology, Medicare, Medicare Reimbursement, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Nursing, Patient Admissions, Procedure Development, Reimbursement, Third-Party Payer, Time Management, Utilization Management, Writing Skills
Patient Access Representative - Santa Monica - - 30020 - UCLA Health
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Patient Access Representative - Santa Monica
General Information
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Work Location: Santa Monica, CA, USA
Onsite or Remote
Fully On-Site
Work Schedule
Monday - Friday, 11:00 AM - 7:30 PM, with rotating weekends and holidays
Posted Date
04/13/2026
Salary Range: $28.41 - 37.49 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
29934
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: $28.41/hour - $37.49 /hour
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
- 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
As a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
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