"Patient Access Rep II - Licensed Clinics - Full-Time, On-Site, Days"

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!

The Patient Access Rep II performs all admissions activities for pre-admit and face-to-face registration of patients presenting to Admissions and/or outpatient areas for treatment. Facilitates patient access to Cedars-Sinai Medical Center and secures all demographic and financial patient registration information, including the following: Registration, Pre-Registration, government and non-government insurance verification, eligibility verification, Workers Compensation eligibility, and securing cash deposits (co-pays, deductibles, cash packages). Demonstrates the ability to perform job duties and interact with customers with sensitivity & attention to the patient population(s) served. Provides superior customer service through all personal and professional interactions with all customers within the Cedars-Sinai Health System.

Primary Duties and Responsibilities

• Perform all registration activities for patients presenting to all patient access areas. Cross trained and competent to perform in no less than 3 patient access functions and/or patient access areas.
• Obtain financial clearance and determines patient's correct financial classification. Perform insurance verification electronically, telephonically, or through product website(s).
• Perform proper system search to secure a medical record number (MRN) or assign a new MRN without duplication. Consistently follows CSMC Patient Identification Policy when assigning and verifying MRN.
• Perform proper selection of physician. Recognize privileging issues (physician suspensions). Know how to handle and resolve physician privilege and suspension issues.
• Demonstrate superior patient interviewing skills. Interact with patients and performs job duties with sensitivity and attention to the patients being served.
• Competent to independently handle routine / frequent inquiries from patients, patient representatives and insurance companies. Escalates issues appropriately.
• Demonstrate collection skills. Able to determine and explain patient financial obligation and collect funds when appropriate. Meets or exceeds cash collection goals
• Work and resolve QA error worklist daily and without exception.
• Interact with physicians and specialty departments to assure accurate intake of information required for complete registration.
• Demonstrate the ability to clearly explain registration and consent forms to the patient and obtain necessary signatures.
• Demonstrate the ability to assemble registration paperwork for inclusion on the patient chart. Scan all appropriate documents into scanning system for retrieval as necessary.
• Demonstrate competency regarding navigation and entering patient and financial information in the ADT system.
• Maintain patient confidentiality. Know and adhere to CSMC and HIPAA regulations regarding patient privacy and release of information.

Qualifications

Education & Experience Requirements:

High School Diploma/GED required. Bachelor's Degree in Hospital Administration or equivalent preferred.

Two (2) years of healthcare experience working in Patient Access or Revenue Cycle department, physician office, healthcare insurance company, and/or other revenue cycle related roles required.

Experience answering multi-line and high-volume telephone calls in a healthcare setting or related field preferred. Medical or healthcare call center experience preferred.

About Us

Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars-Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.

About the Team

Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.