Patient Access Representative III - 138928
UC San Diego Health, San Diego, CA, United States
Payroll Title:
HOSP BLANK AST 3
Department:
EC Admitting
Hiring Pay Scale:
$27.49 - $34.17 / Hour
Worksite:
East Campus Medical Center (Alvarado Road)
Appointment Type:
Career
Appointment Percent:
60%
Union:
EX Contract
Total Openings:
1
Work Schedule:
Variable, 8 - hour, Variable
Extended Deadline:
Tue 4/28/2026
Job Description
UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world — one life at a time. We are a diverse, patient‑focused, high‑performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast‑paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem‑solving and customer service.
Under the general guidance of the Access Manager, the Patient Access Representative III pre‑registers, pre‑admits, and admits patients by telephone and/or in person. Major duties include collecting accurate demographic information, reviewing and interpreting complex insurance benefits, obtaining prior authorizations, providing patient estimates, collecting cash, interacting with public assistance programs (e.g., Medi‑Cal, CCS), implementing Medicare requirements, interacting with physicians/office personnel and other hospital personnel, units and departments, and referring appropriate cases to other internal and external sources to assist patients with discharge/post‑hospital care. The representative also interacts with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement.
Minimum Qualifications
A minimum of three (3) years of registration or medical front office experience or an equivalent combination of education and experience.
Thorough knowledge of third‑party payers and demonstrated knowledge of medical terminology.
Excellent customer service skills.
Highly proficient with MS Office applications (Excel, Word).
Strong communication skills, with the ability to convey complex ideas clearly both verbally and in writing to audiences at all levels.
Professionalism, credibility, commitment to high quality standards, innovation, and accountability.
Ability to interact effectively with the public, including patients, visitors, clinical and support staff.
Preferred Qualifications
Patient Access experience in a hospital setting.
Completion of the UC San Diego - Extended Studies Intensive Revenue Cycle Course Certificate.
Experience with insurance and authorization verification.
Strong knowledge of third‑party payors including federal, state, and private health plans.
Bilingual in English/Spanish.
Knowledge of medical terminology.
Knowledge and articulation of hospital patient forms, as required by JACAHO/GAD, etc.
Prior cash handling experience.
Experience completing birth certificates.
Special Conditions
Must be able to work various hours, days, shifts, on‑call and at multiple locations based on the 24‑hour Medical Center's business needs.
Employment is subject to a criminal background check and pre‑employment physical.
Pay Transparency
Annual Full Pay Range: $57,399 - $71,347 (will be prorated if the appointment percentage is less than 100%).
Hourly Equivalent: $27.49 - $34.17.
Factors in determining the appropriate compensation include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs.
Misconduct Disclosure Requirement
As a condition of employment, the final candidate who accepts an offer must 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.
"Misconduct" means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer.
Relevant UC policies: UC Sexual Violence and Sexual Harassment Policy, UC Anti‑Discrimination Policy, Abusive Conduct in the Workplace.
Equal Opportunity Employer
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. For the University of California’s Anti‑Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination.
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HOSP BLANK AST 3
Department:
EC Admitting
Hiring Pay Scale:
$27.49 - $34.17 / Hour
Worksite:
East Campus Medical Center (Alvarado Road)
Appointment Type:
Career
Appointment Percent:
60%
Union:
EX Contract
Total Openings:
1
Work Schedule:
Variable, 8 - hour, Variable
Extended Deadline:
Tue 4/28/2026
Job Description
UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world — one life at a time. We are a diverse, patient‑focused, high‑performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast‑paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem‑solving and customer service.
Under the general guidance of the Access Manager, the Patient Access Representative III pre‑registers, pre‑admits, and admits patients by telephone and/or in person. Major duties include collecting accurate demographic information, reviewing and interpreting complex insurance benefits, obtaining prior authorizations, providing patient estimates, collecting cash, interacting with public assistance programs (e.g., Medi‑Cal, CCS), implementing Medicare requirements, interacting with physicians/office personnel and other hospital personnel, units and departments, and referring appropriate cases to other internal and external sources to assist patients with discharge/post‑hospital care. The representative also interacts with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement.
Minimum Qualifications
A minimum of three (3) years of registration or medical front office experience or an equivalent combination of education and experience.
Thorough knowledge of third‑party payers and demonstrated knowledge of medical terminology.
Excellent customer service skills.
Highly proficient with MS Office applications (Excel, Word).
Strong communication skills, with the ability to convey complex ideas clearly both verbally and in writing to audiences at all levels.
Professionalism, credibility, commitment to high quality standards, innovation, and accountability.
Ability to interact effectively with the public, including patients, visitors, clinical and support staff.
Preferred Qualifications
Patient Access experience in a hospital setting.
Completion of the UC San Diego - Extended Studies Intensive Revenue Cycle Course Certificate.
Experience with insurance and authorization verification.
Strong knowledge of third‑party payors including federal, state, and private health plans.
Bilingual in English/Spanish.
Knowledge of medical terminology.
Knowledge and articulation of hospital patient forms, as required by JACAHO/GAD, etc.
Prior cash handling experience.
Experience completing birth certificates.
Special Conditions
Must be able to work various hours, days, shifts, on‑call and at multiple locations based on the 24‑hour Medical Center's business needs.
Employment is subject to a criminal background check and pre‑employment physical.
Pay Transparency
Annual Full Pay Range: $57,399 - $71,347 (will be prorated if the appointment percentage is less than 100%).
Hourly Equivalent: $27.49 - $34.17.
Factors in determining the appropriate compensation include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs.
Misconduct Disclosure Requirement
As a condition of employment, the final candidate who accepts an offer must 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.
"Misconduct" means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer.
Relevant UC policies: UC Sexual Violence and Sexual Harassment Policy, UC Anti‑Discrimination Policy, Abusive Conduct in the Workplace.
Equal Opportunity Employer
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. For the University of California’s Anti‑Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination.
#J-18808-Ljbffr