Patient Access Rep III - Central Authorization - Neurosciences & Imaging - Full-Time, On-Site, Days

Cedars-Sinai•Los Angeles, CA

1d•$26 - $40•Onsite

About The Position

The Patient Access Rep III is an advanced level position and is expected to have a high level of proficiency in all department duties and be competent to fill in on an interim basis in any department within Admissions with minimal refresher training. The PAR III performs all admissions activities for pre-admit and face-to-face registration of patients presenting to any registration area for service. Facilitates patient access to Cedars Sinai Medical Center and secures all demographic and financial patient registration information, including the following: Registration, Pre Registration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing 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 level of proficiency in all department duties
Competent to fill in on an interim basis in any department within Admissions with minimal refresher training
Proficiency in pre-admit and face-to-face registration
Proficiency in securing demographic and financial patient registration information
Proficiency in Registration, Pre Registration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing cash deposits (co-pays, deductibles, cash packages)
Ability to perform insurance verification electronically, telephonically, DDE or product website use on Medicare, Medicaid, HMO, PPO or commercial products.
Ability to perform proper system search to secure a medical record number or assign a new one without duplication.
Ability to perform proper selection of physician and recognize privileging issues (physician suspensions).
Strong patient interviewing skills
Ability to interact with patients and perform job duties with sensitivity and attention to the patient population(s) being served
Ability to independently handle routine / frequent inquiries from patients, patient representatives and insurance companies.
Ability to escalate issues appropriately.
Demonstrated collection skills.
Ability to determine and explain patient financial obligation (deductibles).
Ability to meet or exceed cash collection goals.
Ability to interact with physicians and specialty departments to assure accurate intake of information required for registration and account adjustments
Ability to compile reports upon request through all available resources.
Ability to clear RQI worklists daily and assist others when necessary.
Competent in ALL areas of their registration area and demonstrates the ability to assist anywhere in their respective department.
Meets productivity requirement of no less than 30 registrations per shift on average.
Meets productivity requirement of handling no less than 10 inquiries per day from patients, physicians, family members and internal staff.
Knowledge of and adherence to state, federal and regulatory requirements, and CSMC policy specific to the admissions department.

Nice To Haves

Remote eligible AFTER successful completion of on-site training.

Responsibilities

Performs all admissions activities for pre-admit and face-to-face registration of patients presenting to the Main Admissions and/or outpatient areas for treatment
Obtains financial clearance and determines patient's correct financial classification. Performs insurance verification electronically, telephonically, DDE or product website use on Medicare, Medicaid, HMO, PPO or commercial products.
Performs proper system search to secure a medical record number or assign a new one without duplication.
Performs proper selection of physician. Recognizes privileging issues (physician suspensions). Knows how to handle and resolve physician privilege and suspension issues.
Demonstrates strong patient interviewing skills. Interacts with patients and performs job duties with sensitivity and attention to the patient population(s) being served
Competent to independently handle routine / frequent inquiries from patients, patient representatives and insurance companies. Escalates issues appropriately.
Demonstrates collection skills. Able to determine and explain patient financial obligation (deductibles). Meets or exceeds cash collection goals.
Interacts with physicians and specialty departments to assure accurate intake of information required for registration and account adjustments
Demonstrates the ability to compile reports upon request through all available resources.
Clears RQI worklists daily and assists others when necessary.
Is competent in ALL areas of their registration area and demonstrates the ability to assist anywhere in their respective department.
Productivity requirement: Completes no less than 30 registrations per shift on average. (may vary by admissions area)
Productivity requirement: Handles no less than 10 inquiries per day from patients, physicians, family members and internal staff.
Knows and adheres to state, federal and regulatory requirements, and CSMC policy specific to the admissions department.