Senior Patient Service Rep - Nephrology

Cedars-Sinai•Los Angeles, CA

11d•$25 - $39

About The Position

The Senior Patient Service Rep supports positive patient relations and independently performs patient-service and administrative duties with minimal direction. Responsibilities include patient check-in and check-out, telephone communication, appointment scheduling, registration, payment collection, and maintaining accurate patient demographic and insurance information in CS-Link. The role coordinates communication among patients, families, medical and administrative staff, insurance plans, and other departments, and supports patient-care flow, physician scheduling, referrals, authorizations, and department workflows. The position also participates in lean management activities, huddles, and staff meetings, explains policies and services to patients, and follows infection-prevention standards and department policies.

Requirements

Three years of Patient Service Representative or Medical Assistant experience in an outpatient medical office setting.
High school diploma or GED preferred.

Responsibilities

Oversee patient check-in and check-out, collect co-payments and other payments, issue receipts, and reconcile payments.
Maintain and verify patient demographic and insurance information in CS-Link.
Schedule appointments, complete patient registration, and support patient flow and customer service.
Use knowledge of healthcare insurance and benefits to assess authorization requirements and patient out-of-pocket expenses.
Analyze and resolve insurance issues by coordinating with insurance companies.
Coordinate administrative support activities involving facilities management, patient billing, utilization management, quality management, risk management, human resources, and payroll.
Coordinate communication among patients, family members, medical staff, administrative staff, insurance plans, and other departments.
Manage physician master schedules and coordinate schedule changes; handle patient and provider correspondence as instructed.
Process and track referrals and authorizations for various insurance types.
Participate in lean management processes by detailing, monitoring, and updating department-specific data.
Manage patient-care flow and assist with monitoring CS-Link message pools and standard work.
Monitor personal workflow and independently meet position requirements with minimal direction.
Explain policies, procedures, and services to patients using administrative knowledge.
Participate in daily huddles and staff meetings, including presentations to promote effective teamwork.
Follow infection-prevention standards and department policies and procedures.
Serve as a chaperone when needed after completing required Chaperone Training.