About The Position

The Patient Access Rep II performs admissions activities for pre-admit and face-to-face registration of patients presenting to Admissions and outpatient areas for treatment. The role facilitates patient access to Cedars-Sinai Medical Center and obtains 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, deductibles, and cash packages. The position provides customer service to patients and other customers, with sensitivity to the patient populations served. It is cross-trained and competent in at least three patient access functions and/or areas. The position is described as on-site, with remote eligibility after successful completion of on-site training.

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.
  • Experience answering multi-line, high-volume telephone calls in a healthcare setting or related field.
  • Medical or healthcare call center experience.

Responsibilities

  • Perform registration activities for patients presenting to patient access areas.
  • Work competently in at least three patient access functions and/or patient access areas.
  • Obtain financial clearance and determine the patient's financial classification.
  • Verify insurance electronically, by telephone, or through insurer websites.
  • Search for an existing medical record number (MRN) or assign a new one without duplication, following the patient identification policy.
  • Select the appropriate physician and recognize, handle, and resolve physician privileging or suspension issues.
  • Interview patients and respond independently to routine inquiries from patients, representatives, and insurance companies; escalate issues appropriately.
  • Determine and explain patient financial obligations, collect funds when appropriate, and meet or exceed cash collection goals.
  • Resolve the quality assurance error worklist daily.
  • Coordinate with physicians and specialty departments to obtain information needed for complete registration.
  • Explain registration and consent forms and obtain required signatures.
  • Assemble registration paperwork for the patient chart and scan appropriate documents into the scanning system.
  • Navigate the ADT system and enter patient and financial information.
  • Maintain patient confidentiality and follow Cedars-Sinai and HIPAA privacy and information-release requirements.
  • Provide superior customer service in interactions with customers across the Cedars-Sinai Health System.
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