About The Position

The Patient Access Representative I (PAR I) provides a welcoming patient experience and facilitates access to care across inpatient, outpatient, and emergency services. The role performs a variety of Patient Access activities and may be cross-trained in scheduling, pre-registration, financial clearance, referrals, authorizations, financial counseling, and patient arrival and registration. The representative uses 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 secure cash deposits such as co-pays, deductibles, and cash packages. This highly visible, patient-facing role is in a fast-paced environment involving direct patient interaction, changing workflows, multiple technology systems, and insurance-related conversations. It requires organization, clear communication, patience, professionalism, accuracy, and accountability while supporting a positive patient experience.

Requirements

  • High school diploma or GED.
  • At least one year of customer service experience; preferably in a healthcare or service-oriented setting.
  • Scheduling flexibility and timeliness, including weekend commitments.
  • Ability to interact directly with patients in a fast-paced setting, manage frequent workflow changes and multiple technology systems, communicate clearly, stay organized, and maintain accuracy and professionalism.

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, 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, insurance eligibility, and benefits to support financial clearance and accurate system data.
  • Search the system for an existing medical record number or assign a new one without duplication, following the CSMC Patient Identification Policy.
  • Select appropriate referring, attending, admitting, and primary care physicians; recognize physician privileging issues and follow appropriate 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 to patients and obtain necessary signatures.
  • Maintain patient confidentiality.
  • Monitor and resolve WQs and Scorecard errors daily.
  • Follow state, federal, and regulatory requirements and CSMC policies specific to the admissions department.
  • Provide superior customer service in interactions with customers throughout the Cedars-Sinai Health System.
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