Job Description
Are you passionate about providing outstanding and high-quality service to patients and their family members? Join our team!
Patient Access Representatives are responsible for providing patients with a welcoming experience, while facilitating patient's access to care. The Patient Access Representative I (PAR I) performs a variety of Patient Access activities for patients throughout the Medical Center for Inpatient, Outpatient and/or Emergency Services. The Patient Access Representatives are cross trained to support roles and responsibilities throughout Patient Access, Scheduling, Pre-Registration, Financial Clearance, Referrals, Authorizations, Financial Counseling, and Patient Arrival & Registration. The Patient Access Representative has a thorough knowledge and understanding of insurance policies and procedures to determine insurance eligibility, benefits, and authorization requirements, Third Party Liability (TPL), Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, provide patient estimates, determine patient liability and secure cash deposits (co-pays, deductibles, cash packages). Provides superior customer service through all personal and professional interactions with all customers within the Cedars-Sinai Health System.
Primary Duties & Responsibilities
Perform all Patient Access activities Scheduling, Pre-Registration, Financial Clearance, Referrals, Authorizations, Financial Counseling, and Patient Arrival/Registration, as assigned.
Obtain, verify and update patient demographic, financial information, insurance eligibility and benefits, to ensure patients are financial cleared for services and data accuracy in the system.
Perform proper system search to secure a medical record number or assign a new one without duplication. Consistently follow CSMC Patient Identification Policy when assigning and verifying MRN.
Perform proper selection of physician(s) Referring, Attending, Admitting and PCP. Recognize privileging issues (physician suspensions) and follows appropriate procedures.
Determine and explain patient estimates and financial obligations and collect funds to meet individual and department cash collection goals.
Ability to clearly explain registration and consent forms to the patient and obtain necessary signatures.
Maintain patient confidentiality.
Monitor and resolve WQs and Scorecard errors daily and without exception.
Know and adhere to state, federal and regulatory requirements, and CSMC policy specific to the admissions department.
Qualifications
Education & Experience Requirements:
High School Diploma/GED required. Associate Degree/College Diploma in Hospital Administration or equivalent preferred.
One (1) year of customer service experience required, preferably in a healthcare setting
Two (2) years of experience in healthcare experience working in Patient Access or Revenue Cycle department, physician office, healthcare insurance company, and/or other revenue cycle related roles preferred.
Scheduling flexibility and timeliness including evening and weekend commitments.
About Us
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.
About the Team
Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.
Req ID : 4563
Working Title : Patient Access Rep I - Patient Access Contact Center - Licensed Clinics (Full-Time, 8 Hour)
Department : CSRC Sched Reg Patient Access
Business Entity : Cedars-Sinai Medical Center
Job Category : Administrative
Job Specialty : Admissions/Registration
Overtime Status : NONEXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $21.00 - $30.93
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
