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Principal Access Representative Per Diem (ACCESS REPR PRN PD)

University of California- Davis Health
United States, California, Sacramento
March 12, 2024

The Principal Access Representative (Per Diem) is directly responsible for 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 and notifications, collecting payments, co-pays, and deductibles and assuring all avenues of reimbursement or assistance are pursued to guarantee payment for uninsured/under insured patients. Representatives communicate with physicians, insurance companies, government payers, health system representatives, and patients, to verify eligibility and benefits, obtain authorizations, register patients, provide financial counseling, obtain sponsorships for unsecured accounts, and provide liaison with referring physicians within the hospital. Representatives support both inpatient and outpatient services. This position is per diem.

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Minimum Qualifications

  • Previous financial counseling and patient reception experience required
  • Detailed knowledge of coverage benefits, authorization and utilization review requirements for each payer type including third party liability, Federal Government payers (such as VA & Mcare), State (such as Mcal, Mcaid, & CCS) and local (such as CMSP) government payers, Private and Commercial payers, HMO/PPO & EPO plans
  • Experience analyzing a variety of factors to determine and select accurate coverage based on visit type
  • Ability to quickly assimilate and retain a large body of financial information
  • Ability to determine payor priority and identify which insurance plan has primary responsibility and the extent to which all other plans will contribute towards medical expenses if the patient has more than one payor
  • Ability to determine appropriate eligibility verification processes associated with the payer type
  • Ability to problem-solve and make independent decisions based on established guidelines and work flows

Department Description

Financial Clearance Department supports UCDH by facilitating patients' entry into the system as well as their continued access to healthcare services.

Position Information

  • Salary or Pay Range: $34.42
  • Salary Frequency: Hourly
  • Salary Grade: 232
  • Payroll Title: ACCESS REPR PRN PD
  • Number of Positions: 2
  • Appointment Type: Per Diem
  • Percentage of Time: .20
  • Shift Hours: Variable
  • Location: North Addition Office Building
  • Union Representation: EX
  • Benefits Eligible: No
  • Hybrid/Remote/On-Site: Onsite

Special Requirements

  • This position is a critical position and subject to a background check and drug screen. Employment is contingent upon successful completion of background investigation including criminal history, identity checks and drug screen.
  • As a condition of employment, you will be required to comply with the University of California , as may be amended or revised from time to time. Federal, state, or local public health directives may impose additional 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 , our and for research and education, and our latest efforts to . The advancing inclusive excellence. 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 categories covered by the UC nondiscrimination policy.

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 #CA-DF