Patient Access Rep III - Patient Access Contact Center - GI - Full-Time, On-Site, Days
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 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)
- Superior customer service skills
- 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 recognize and resolve physician privileging and suspension issues.
- 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.
- 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.
- Productivity requirement: Complete no less than 30 registrations per shift on average. (may vary by admissions area) & handle 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.
Responsibilities
- Perform all admissions activities for pre-admit & face-to-face registration of patients presenting to the Main Admissions and/or outpatient areas for treatment
- Obtain 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.
- Perform proper system search to secure a medical record number or assign a new one without duplication.
- Perform proper selection of physician. Recognizes privileging issues (physician suspensions). Knows how to handle and resolve physician privilege and suspension issues.
- Demonstrate strong patient interviewing skills. Interact 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. Escalate issues appropriately.
- Demonstrate collection skills. Able to determine and explain patient financial obligation (deductibles). Meet or exceed cash collection goals.
- Interact with physicians and specialty departments to assure accurate intake of information required for registration and account adjustments
- Demonstrate the ability to compile reports upon request through all available resources.
- Clear 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: Complete no less than 30 registrations per shift on average. (may vary by admissions area) & handle no less than 10 inquiries per day from patients, physicians, family members and internal staff.
- Know and adhere 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
Mid Level
Education Level
No Education Listed
