Senior Patient Service Rep PACT - Ops Float Pool

Cedars-Sinai•Beverly Hills, CA
•$25 - $39

About The Position

The Senior Patient Service Representative - PACT (Float Pool) at Cedars-Sinai Medical Network is an administrative professional who coordinates daily patient services across multiple medical practice locations. The role supports patient check-in and check-out, collects and reconciles payments, verifies insurance eligibility, assesses benefits and authorization requirements, and determines patients' out-of-pocket expenses. A strong understanding of Health Information Management activities is integral to the position. The representative works across outpatient medical network departments, adapting to the workflows and procedures of different practices. The role requires detailed knowledge of the CS-Link/Epic healthcare system and the ability to work independently with minimal direction. It also includes supporting patient flow, mentoring colleagues, and assisting with practice projects and administrative operations.

Requirements

  • Three years of Patient Service Representative or Medical Assistant experience in an outpatient medical office setting.

Nice To Haves

  • High school diploma or GED preferred.

Responsibilities

  • Oversee patient check-in and check-out procedures, including payment collection and reconciliation.
  • Maintain patient demographic and insurance information in CS-Link, ensuring data accuracy.
  • Schedule and coordinate patient appointments to support efficient patient flow and satisfaction.
  • Assess insurance benefits, authorization requirements, and patients' out-of-pocket expenses.
  • Analyze, evaluate, and resolve insurance issues in coordination with insurance companies.
  • Coordinate administrative support activities involving facilities management, patient billing, utilization management, quality management, risk management, human resources, and payroll.
  • Maintain physician master schedules, manage schedule changes, and handle patient and provider correspondence as advised.
  • Manage referrals and authorizations across insurance types, ensuring patient interactions comply with healthcare regulations and Cedars-Sinai Medical Center protocols.
  • Track, monitor, and update department-specific data as part of lean management processes.
  • Train and mentor Patient Service Representatives.
  • Participate in departmental huddles and staff meetings and deliver presentations to support effective teamwork.
  • Manage patient care flow and assist in supervising CS-Link message pools.
  • Explain complex policies, procedures, or services to patients.
  • Perform the lobby Patient Service Representative role in outpatient medical network departments, learning and applying the relevant Epic functionalities and clinic-specific knowledge.
  • Adapt to the workflows and procedures of different practices.
  • Assist with special projects or other tasks as required by the practice manager or healthcare providers.
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