Job Description
Are you ready to bring your skills to a world-class healthcare organization recognized as one of the top ten in the United States? Come join our team! Patient Access Representatives are responsible for providing patients with a welcoming experience, while facilitating patients access to care.
The Patient Access Representative I (PAR I) performs a variety of Patient Access activities for patients throughout the Medical Center for Inpatient, Outpatient and/or Emergency Services. The Patient Access Representatives are cross trained to support roles and responsibilities throughout Patient Access, Scheduling, Pre-Registration, Financial Clearance, Referrals, Authorizations, Financial Counseling, and Patient Arrival & Registration.
The PAR I must have thorough knowledge and understanding of insurance policies and procedures to determine insurance eligibility, benefits, and authorization requirements, Third Party Liability (TPL), Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, provide patient estimates, determine patient liability and secure 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.
Primary Duties and Responsibilities
• Performs all Patient Access activities Scheduling, Pre-Registration, Financial Clearance, Referrals, Authorizations, Financial Counseling, and Patient Arrival/Registration, as assigned. • Obtains, verifies and updates patient demographic, financial information, insurance eligibility and benefits, to ensure patients are financial cleared for services and data accuracy in the system. • Performs proper system search to secure a medical record number or assign a new one without duplication. • Consistently follows CSMC Patient Identification Policy when assigning and verifying MRN. • Performs proper selection of physician(s) Referring, Attending, Admitting and PCP. • Recognizes privileging issues (physician suspensions) and follows appropriate procedures. • Determines and explains patient estimates and financial obligations and collect funds to meet individual and department cash collection goals. • Ability to clearly explain registration and consent forms to the patient and obtain necessary signatures. • Maintains patient confidentiality. • Monitors and resolves WQs and Scorecard errors daily and without exception. • Knows and adheres to state, federal and regulatory requirements, and CSMC policy specific to the admissions department.
Qualifications
Education & Experience Requirements
• High School Diploma/GED required. • Assoc. Degree/College Diploma in Hospital Administration or equivalent preferred. • One (1) year of customer service experience, preferably in a healthcare or service-oriented setting required. • One (1) year of healthcare experience working in Patient Access or Revenue Cycle department, physician office, healthcare insurance company, and/or other revenue cycle related roles preferred.
Cedars Sinai is one of the largest nonprofit academic medical centers in the United States, and it is the largest private academic medical center in the Western United States. The Cedars Sinai main campus, which encompasses nearly 24 acres, is located at the point where the cities of Los Angeles, Beverly Hills, and West Hollywood meet. Cedars Sinai has been recognized annually by U.S. News & World Report’s top 10 best hospitals in the U.S. The institution most recently placed No. 7 among a select group of 20 Honor Roll hospitals and ranked nationally in a dozen specialties. In addition, Cedars Sinai ranked No. 3 in California and No. 2 in the Los Angeles metro area.
Within Cedars Sinai, the Institute for Research on Health Aging conducts multi-disciplinary research that prioritizes the prevention of cardiovascular disease, neurocognitive disease, and cancer. Our focus is on translating new research discoveries into pragmatic interventions aimed at promoting healthy aging across diverse populations. Our approach involves human physiology, cohort, and clinical trial studies and our team includes established experts in population, clinical, translational, basic, and data science.