Patient Access Rep I - ED LD Reg and Ops - Per Diem, On-Site

Cedars-Sinai • Los Angeles, CA

8d • $29 - $29 • Onsite

About The Position

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 PAR I must have 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.

Requirements

• Thorough knowledge and understanding of insurance policies and procedures to determine insurance eligibility, benefits, and authorization requirements
• Knowledge of Third Party Liability (TPL), Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility
• Ability to provide patient estimates, determine patient liability and secure cash deposits (co-pays, deductibles, cash packages)
• Superior customer service skills
• Ability to clearly explain registration and consent forms to the patient and obtain necessary signatures
• Ability to maintain patient confidentiality
• Ability to monitor and resolve WQs and Scorecard errors daily
• Knowledge of state, federal and regulatory requirements, and CSMC policy specific to the admissions department

Responsibilities

• Performs all Patient Access activities Scheduling, Pre-Registration, Financial Clearance, Referrals, Authorizations, Financial Counseling, and Patient Arrival/Registration, as assigned.
• Obtains, verifies and updates patient demographic, financial information, insurance eligibility and benefits, to ensure patients are financial cleared for services and data accuracy in the system.
• Performs proper system search to secure a medical record number or assign a new one without duplication. Consistently follows CSMC Patient Identification Policy when assigning and verifying MRN.
• Performs proper selection of physician(s) Referring, Attending, Admitting and PCP. Recognizes privileging issues (physician suspensions) and follows appropriate procedures.
• Determines and explains 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.
• Maintains patient confidentiality.
• Monitors and resolves WQs and Scorecard errors daily and without exception.
• Knows and adheres to state, federal and regulatory requirements, and CSMC policy specific to the admissions department.

What This Job Offers

• Career Level: Entry Level
• Education Level: No Education Listed