Patient Services Representative II - Endocrinology / DOTEC Department

Job Description

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation?s Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles and the Advisory Board Company?s Workplace of the Year.

We offer an amazing benefits package that includes health care, paid time off, and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America?s Best Hospitals.

The Patient Service Representative II (PSR II), follows established practices, policies and guidelines, provides clerical and administrative support/duties while handling high volume of patient coordination and complex scheduling. The Patient Service Rep II plays a key role in maintaining our high standards of patient service and care.

What will you be doing in this role?

• Independently manages patient check-in and check-out procedures, including payment collection and reconciliation.
• Schedules and coordinates patient appointments effectively to ensure smooth patient flow. Maintains knowledge & understanding of scheduling protocols, guidelines & standard operating procedures. May perform special scheduling requests from leadership or multi-coordination scheduling (e.g., echo, EKG, Zio, labs) following provider visit sequencing, such as panel visits.
• Coordinates procedure/testing with other departments and ancillary services, monitors daily patient schedule and identifies "no show" for rescheduling.
• Analyzes and understands complex healthcare insurance benefits to assess patients? out-of-pocket expenses and authorization requirements.
• Manages providers master schedules, handling all changes and patient/provider correspondence.
• Coordinates patient referrals and authorizations, ensuring that all patient interactions align with healthcare regulatory standards and Cedars-Sinai Medical Center's guidelines.
• Participates actively in departmental huddles and staff meetings, occasionally leading discussions or presentations.
• Manages department-specific data and workflows using lean methodology.
• Promotes and adheres to all infection prevention standards and department policies and procedures.
• Retrieves and obtains records as needed per clinical protocol. Responsible for following CSMC and HIPAA confidentiality guidelines while performing all duties.
• Manages patient flow in clinic, participates and guide patient for work-up in other departments as necessary. Liaison between patient and clinical team.
• Performs courier services within the medical center vicinity such as picking up/dropping off supplies, etc. Maintains patient demographic and insurance information in the CS-Link system, ensuring high accuracy and data integrity.
• Uses a consistent telephone greeting, answers telephones, takes complete and accurate messages, triages and relays to appropriate party to support the operational aspects of patient care. May use automated call distribution system (ACD).

Qualifications

• High School Diploma is required.
• 2 years of experience working with insurance companies and acquiring authorizations is required.