Principal Access Rep (ACCESS REPR PRN)

This position is directly responsible for the following activities related to the completion of registration, securing sponsorship and completion of applications for County, State and Federal funding programs successfully.Activities required in this position are reception, registration, insurance verification, payor notification, authorization verification, securing sponsorship, educating patients or family members on various programs (Medi-Cal, Medicare, County Medically Indigent Services, Victims of Violent Crime and other financial assistance linkages), completing applications for assistance programs, making appropriate referrals/notifications, collecting payments/co-pays/deductibles and assuring all avenues of reimbursement or assistance are pursued to guarantee payment for uninsured/under insured patients.

Apply By Date

3/14/2025 @ 11:59pm *REPOSTED

Minimum Qualifications

For full consideration applicants are encouraged to upload license and certification if required of the position.

• High School Diploma
• 5 years in Healthcare Field
• Working knowledge of eligibility, authorization and utilization review requirements related to Federal, State and County sponsored programs including but not limited to Medicare, Medi-Cal CMISP/CMSP, California Children services, HMO, PPO and managed care groups. Skill in analyzing a variety of factors regarding eligibility, third party payors, authorization and benefit limits to determine the need for additional facts or documentation.
• Skill in interviewing individuals from diverse cultural backgrounds, including listening perceptively, identifying and clarifying financial problem areas, interacting effectively with a variety of behaviors including fear, grief, hostility and non cooperation, ensuring that the individuals clearly understand their rights and financial options. Working knowledge of on-line registration, verification and authorization procedures.
• Ability to evaluate and continuously reprioritize workload to ensure financial security is maintained and payor timelines are met.
• Skill to quickly assimilate and retain a large body of financial information.
• Skill in writing concise, grammatically correct online correspondence. Legible handwriting to complete correspondence, forms and folder notes.
• Working knowledge of medical terminology, anatomy and familiar with ICD and CPT coding.
• Documented experience using the following computer applications: EMR, MS Office, Outlook, Citrix, & Internet web sites.
• Ability to learn additional applications
• Oral communication skills to clearly convey and obtain information from patients, families, attorneys, payors and staff.
• Knowledge of HMO, PPO, EPO, FFS, Federal/State/County programs and third party payor eligibility/authorization processes to ensure timely reimbursement.
• Skill in reading and understanding a variety of administrative policies, insurance plans, procedures and guidelines.
• Ability to develop and maintain cooperative working relationships with payors, clinical/medical staff, professional/hospital billing staff and other hospital members.
• Problem solving skills to independently recognize and define a problem; identify resources available to assist in solving the problem; create and implement viable solutions and follow through to ensure a problem is resolved to the satisfaction of all parties involved.
• Ability to apply HIPPA guidelines appropriately when working with payors, families, departmental staff and other outside entities. Interpersonal skills to establish and maintain a friendly, welcoming environment; demonstrate an interested, understanding, compassionate and caring manner, to maintain a courteous and calm demeanor and to use a pro-active approach to negotiate a resolution acceptable to all parties.
• Communicates (written and oral) clearly and concisely in order to provide information, explanations and instructions to and to elicit information from others with varying levels of ability to understand, including individuals who are ill or distressed, or who may not speak English
• Establishes and maintains a friendly, welcoming environment for facilities customers; to demonstrate an interested, understanding, compassionate and caring manner; to maintain a courteous and calm demeanor, and to use a pro active approach to negotiate with and persuade others to take required action.
• Maintains composure, efficiency and a positive customer-service oriented manner during periods of peak workload, with frequent interruptions, under tight deadlines, and when interacting with challenging customers whom may be angry, or emotionally distressed.
• Problem-solves to independently recognize and define a problem; identifies the resources available to help solve the problem; creates and implements viable solutions, and follows through to ensure a problem is resolved to the satisfaction of all parties.
• Exercises designated authority to take action and recognize when it is appropriate to seek assistance from others when limits of delegated authority have been reached.
• Exercises discretion to ensure that patient confidentially is maintained and a professional and respectful environment exists at all times.
• Interacts professionally and compassionately with sick, severely injured, mentally ill, and emotionally distressed patients and families while still accomplishing tasks in an efficient manner.
• Works as part of a team, collaborate with colleagues, accepts direction from supervisor, and establishes and maintains positive working relationships with University personnel.
• Maintains confidentiality of medical records and patient information.
• Performs job functions quickly, efficiently, and with composure under pressure or heavy and emergent workload, with many interruptions in tense or volatile situations.
• Remain flexible and adaptable to changes in policies and procedures.
• Alphabetically and numerically sort and file documents in an accurate efficient manner.
• Retains general information about subjects, situations, or policies in the ER/Outpatient Registration/Admissions Departments sufficient to make judgments regarding the urgency of situations encountered on the job.
• Make independent judgments within established guidelines.
• Calculates percentages and performs mathematical functions to estimate balances.
• Operates general office equipment, including but not limited to Xerox, Scanners, PC, and Tablets
• Accomplishes a variety of concurrent assignments in an effective and efficient manner.
• Organizes and prioritizes assignments to complete work in a timely and efficient manner, particularly when there are changes in workload or assignments, pressures of deadlines, or heavy workload.
• Identifies problems with individual admissions, searches for and complies relevant information, formulates logical objective solutions, and responds accordingly.
• Maintains knowledge of UC Davis Health System Financial Class and payer codes to identify appropriate coverage.
• Maintains knowledge of Medicare, Medi-Cal, County, and private insurance eligibility requirements to appropriately refer patients for coverage and to identify and take necessary steps to secure the account.
• Reads and comprehends documents written in Standard English text including memos, forms, and administrative policy manuals.
• Records information on a variety of forms required for admission with sufficient spelling, grammar and composition skills.
• Types quickly and accurately and inputs information into on-line computer system.
• Maintains knowledge of Hospital organization structure to appropriately direct callers or route information

Preferred Qualifications

• Medical Terminology Certification or Equivalent Work Experience
• Prior Patient Access Experience in a Hospital Setting Preferred
• Prior Financial Counseling Experience Preferred
• 5 years in Hospital, Emergency Department, or Urgent Care setting
  
  

Key Responsibilities

• 40% - Registration
• 40% - Financial Counseling
• 5% - Education and Professional Development
• 5% - Communication and Networking
• 5% - Accountability
• 5% - Reception

Department Overview

Involves ensuring optimal patient outcomes through the provision of care support in assigned areas(s). Involves the provision of responsive and accurate customer support for patients and physician offices in regards to patient business services related inquiries (billing, collections, admitting, etc.). May also include customer service support for scheduling, directing inquiries to other parties, and troubleshooting general issues.

POSITION INFORMATION

• Salary or Pay Range: $29.75 - $36.97
• Salary Frequency: Hourly
• Salary Grade: 235
• UC Job Title: ACCESS REPR PRN
• Number of Positions: 4
• Appointment Type: Staff: Career
• Percentage of Time: 100
• Shift Hours: 8 Hour
• Location: Surgery & Emergency Serv PAV (HSP010)
• Union Representation: EX
• Benefits Eligible: Yes
• Hybrid/Remote/Onsite: This position is 100% on-site

* THIS IS NOT AN H1- B OPPORTUNITY

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

* High quality and low-cost medical plans to choose from to fit your family's needs
* UC pays for Dental and Vision insurance premiums for you and your family
* Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
* Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Access to free professional development courses and learning opportunities for personal and professional growth
* WorkLife and Wellness programs and resources
* On-site Employee Assistance Program including access to free mental health services
* Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
* Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
* Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here
* UC Davis cares about building a community, which is why we provide resources to enhance diversity, equity and inclusion as well as Employee Resource Groups (ERGs) to support our staff

Physical Demands

• Standing - Continuous 6 to 8+ Hours
• Walking - Continuous 6 to 8+ Hours
• Sitting - Continuous 6 to 8+ Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Continuous 6 to 8+ Hours

Environmental Demands

• Loud noise levels - Occasional Up to 3 Hours

Mental Demands

• Sustained attention and concentration - Continuous 6 to 8+ Hours
• Complex problem solving/reasoning - Frequent 3 to 6 Hours
• Ability to organize & prioritize - Continuous 6 to 8+ Hours
• Communication skills - Continuous 6 to 8+ Hours
• Numerical skills - Continuous 6 to 8+ Hours
• Constant Interaction - Continuous 6 to 8+ Hours
• Customer/Patient Contact - Continuous 6 to 8+ Hours
• Multiple Concurrent Tasks - Continuous 6 to 8+ Hours

Special Requirements

• This is a critical position, as defined by UC policy and local procedures, and as such, employment is contingent upon successful completion of background check(s), including but not limited to criminal record history background check(s)
• The duties or functions of this position include the handling of cash (or cash equivalents)
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Diversity, Equity, Inclusion and Belonging

At UC Davis, we're solving life's most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don't just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds and you belong here. As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected. The University of California, Davis is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

For the University of California's Affirmative Action Policy, please visit: https://policy.ucop.edu/doc/4010393/PPSM-20

For the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to be seen, our recruiting process at UC Davis fosters authenticity, diversity, and inclusion. Studies have shown that some people may not apply to jobs unless they meet every single qualification. Each unique role at UC Davis has a set of requirements and you could be perfect for this role, or you could be perfect for the next role! Don't meet all the requirements? We still encourage you to apply! #YouBelongHere