No experience
Employment Type:
Full time
Job Category:
Health Care Provider
Health Care & Medicine
Patient Access Financial Specialist I
(This job is no longer available)
UCLA Health | Los Angeles, CA
Grad Date

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Job Description

Job Duties
Primary functions of the Patient Access Financial Specialist I include performing insurance eligibility, authorization and benefit verification and administrative support. Major duties include: direct telephone contact with health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence, answer telephone and written inquires, maintain filing systems, interface with medical staff and administrative personnel.

Job Qualifications
Working knowledge in the insurance verification process to determine benefit eligibility and interpretation of coverage. Ability to scrutinize insurance data independently and evaluate information for clarity, accuracy, and completeness. Working knowledge of third party payer verification terminology. Knowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-up. 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 health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time-urgent conditions. Typing skills sufficient to prepare correspondence and operate computer with accuracy and speed. Must be available for rotating week-ends and holiday coverage.

About UCLA Health

For more than half a century, UCLA Health  has provided the best in healthcare and the latest in medical technology to thepeople of Los Angeles and throughout the world. Today we are one of the most comprehensive and advanced healthcare systems in existence. We are comprised of Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, Resnick Neuropsychiatric Hospital at UCLA, Mattel Children’s Hospital UCLA, and the UCLA Medical Group, with offices throughout the region.

Ronald Reagan UCLA Medical Center is consistently ranked by U.S.News & World Report as one of the top five hospitals in the nation and the best medical center in the western United States. The doctors, scientists and caregivers of UCLA are leaders in their fields. Every day, they perform pioneering work across an astounding range of disciplines, from organ transplantation and cardiac surgery to neurosurgery and cancer treatment. Year after year, our people have achieved medical breakthroughs and earned the highest industry honors. And we’re just getting started.

The dedicated professionals of UCLA Health are committed to healing humankind, one patient at a time, by improving health, alleviating suffering, and delivering acts of kindness on a daily basis.