About The Position

The Patient Access Representative I (PAR I) performs a variety of Patient Access activities for patients receiving inpatient, outpatient, and/or emergency services. The position supports functions across Patient Access, including scheduling, pre-registration, financial clearance, referrals, authorizations, financial counseling, and patient arrival and registration. The role requires knowledge of insurance policies and procedures to determine eligibility, benefits, and authorization requirements; verify Third Party Liability, Medi-Cal/Medicare, and Workers’ Compensation eligibility; provide patient estimates; determine patient liability; and collect deposits such as co-pays, deductibles, and cash packages. The representative provides superior customer service in interactions with customers throughout the Cedars-Sinai Health System. This is a highly visible, patient-facing role in a fast-paced healthcare environment. The representative should be comfortable with direct patient interaction, frequent workflow changes, multiple technology systems, insurance-related conversations, and situations requiring patience, professionalism, and service recovery. The role calls for organization, clear communication, consistent use of available tools, and accountability for accuracy while supporting a positive patient experience. The position is full-time, on-site, and scheduled for 10-hour day shifts. The tentative schedule is Wednesday through Friday, 11:00 a.m. to 9:30 p.m., and Saturday, 9:00 a.m. to 7:30 p.m.; scheduling flexibility and weekend commitments are required.

Requirements

  • High school diploma or GED.
  • At least one year of customer service experience; healthcare or service-oriented setting preferred.
  • Scheduling flexibility and timeliness, including weekend commitments.
  • Ability to work in a fast-paced, patient-facing environment with frequent workflow changes and multiple technology systems.
  • Ability to communicate clearly, stay organized, use available tools consistently, and maintain accuracy and accountability.
  • Ability to handle insurance-related conversations and situations requiring patience, professionalism, and service recovery.

Nice To Haves

  • Associate degree or college diploma in Hospital Administration or equivalent.
  • At least one year of healthcare experience in Patient Access or Revenue Cycle, a physician office, a healthcare insurance company, and/or another revenue-cycle-related role.
  • EPIC EMR and insurance verification experience.

Responsibilities

  • Perform assigned Patient Access activities, including scheduling, pre-registration, financial clearance, referrals, authorizations, financial counseling, and patient arrival and registration.
  • Obtain, verify, and update patient demographic and financial information and insurance eligibility and benefits to support financial clearance and accurate system data.
  • Search the system appropriately to locate a medical record number or assign a new one without duplication, following the CSMC Patient Identification Policy.
  • Select referring, attending, admitting, and primary care physicians appropriately; recognize physician privileging issues, including suspensions, and follow applicable procedures.
  • Determine and explain patient estimates and financial obligations, and collect funds to meet individual and department cash collection goals.
  • Explain registration and consent forms clearly and obtain necessary patient signatures.
  • Maintain patient confidentiality.
  • Monitor and resolve work queues (WQs) and Scorecard errors daily.
  • Follow state, federal, regulatory, and CSMC policy requirements applicable to the admissions department.
  • Provide customer service and support a positive patient experience through patient-facing interactions.
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