About The Position

Are you passionate about providing outstanding and high-quality service to patients and their family members? Come 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 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

  • High School Diploma/GED required.
  • One (1) year of customer service experience required, preferably in a healthcare setting.
  • Scheduling flexibility and timeliness including weekend commitments.

Nice To Haves

  • Associate's Degree or College Diploma in Hospital Administration or equivalent preferred.
  • Two (2) years of healthcare experience working in Patient Access or Revenue Cycle department, physician office, healthcare insurance company, and/or other revenue cycle related roles preferred.
  • EPIC EMR & insurance verification experience strongly desired.

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.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Religious, Grantmaking, Civic, Professional, and Similar Organizations

Education Level

High school or GED

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