Patient Access Rep I - AHSP Registration & Operations - Full-Time, On-Site, 8 Hour Days

Cedars-Sinai

Posted 3 months ago

Full Time

Los Angeles, California

In Person

Smart Summary

Responsibilities

The Patient Access Representative performs registration, scheduling, and financial clearance activities to ensure patients have seamless access to care. They are responsible for verifying insurance eligibility, obtaining demographic information, and securing patient financial obligations.

Qualifications

We are looking for a Patient Access Representative I to provide a welcoming experience for patients while facilitating their access to care. This role requires knowledge of insurance policies and procedures, excellent customer service skills, and the ability to perform various patient access activities such as scheduling, registration, and financial counseling.

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 patient's 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.

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.
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.

Cedars-Sinai

Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards for quality and innovation in patient care, research, teaching and community service. Today, Cedars-Sinai is widely known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai receives consistent recognition for our excellence. Our awards include; being named one of America’s Best Hospitals by U.S. News & World Report, receiving the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles, achieving the longest-running Magnet designation for nursing excellence in California, and being recognized as The Advisory Board Company’s 2017 Workplace of the Year, an award Cedars-Sinai has won three years in a row. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Cedars-Sinai is a leader in the clinical care and research of heart disease, cancer and brain disorders, among other areas. Pioneering research achievements include using cardiac stem cells to repair damaged hearts, developing minimally invasive surgical techniques and discovering new types of drugs to target cancer more precisely. Cedars-Sinai also impacts the future of healthcare through education programs that encompass everything from highly competitive medical residency and fellowship programs to a biomedical science and translational medicine PhD program, advanced training for nurses and educational opportunities for allied health professionals. Most notably, Cedars-Sinai demonstrates a longstanding commitment to strengthening the Los Angeles community through wide-ranging programs that improve the health of its most vulnerable residents.
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