About The Position

The Patient Access Rep II performs admissions activities for pre-admission and face-to-face patient registration in Admissions and outpatient treatment areas. The role facilitates access to Cedars-Sinai Medical Center by securing demographic and financial registration information, including registration and pre-registration, insurance and eligibility verification, Workers’ Compensation eligibility, and collection of cash deposits such as co-pays and deductibles. The representative provides sensitive, patient-focused service and superior customer service in interactions throughout the Cedars-Sinai Health System. The position performs registration across patient access areas and must be cross-trained and competent in at least three patient access functions and/or areas. It involves financial clearance, patient identification and medical record management, insurance verification, physician selection, patient interviews, financial collections, inquiry resolution, coordination with physicians and specialty departments, preparation and scanning of registration documents, and accurate use of the ADT system. The representative also maintains patient confidentiality and complies with Cedars-Sinai and HIPAA privacy and information-release requirements. The position is full-time and on-site initially, with remote eligibility after successful completion of on-site training. The tentative schedule is Monday through Friday, an eight-hour shift beginning between 8:00 a.m. and 8:30 a.m.

Requirements

  • High school diploma or GED.
  • At least one year of healthcare experience in Patient Access, Registration, Financial Clearance, Scheduling, Revenue Cycle-related roles, physician offices, healthcare insurance companies, or other revenue cycle-related functions.

Nice To Haves

  • Bachelor’s degree in Hospital Administration or equivalent preferred.
  • Experience answering multi-line, high-volume telephone calls in a healthcare setting or related field preferred.
  • Medical or healthcare call center experience strongly desired.

Responsibilities

  • Perform registration activities for patients in patient access areas and maintain competency in at least three patient access functions and/or areas.
  • Obtain financial clearance, determine the patient’s financial classification, and verify insurance electronically, by phone, or through insurer websites.
  • Search for or assign a medical record number without duplication and follow the CSMC Patient Identification Policy.
  • Select physicians appropriately and recognize and resolve physician privileging, suspension, and related issues.
  • Interview patients and perform duties with sensitivity to the patient populations served.
  • Independently handle routine inquiries from patients, patient representatives, and insurance companies, escalating issues appropriately.
  • Determine and explain patient financial obligations and collect funds when appropriate; meet or exceed cash collection goals.
  • Resolve the QA error worklist daily.
  • Coordinate with physicians and specialty departments to obtain accurate information for complete registration.
  • Explain registration and consent forms and obtain required patient signatures.
  • Assemble registration paperwork for patient charts and scan appropriate documents into the scanning system.
  • Navigate the ADT system and enter patient and financial information accurately.
  • Maintain patient confidentiality and comply with CSMC and HIPAA regulations concerning privacy and release of information.
  • Provide superior customer service in personal and professional interactions with customers across the Cedars-Sinai Health System.
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