What are the responsibilities and job description for the Patient Access Rep I - CSRC AHSP Reg and Ops - Full-Time, On-Site, Days position at Cedars-Sinai Health System?
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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 Patient Access Representative has a 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 & Responsibilities
- Perform all Patient Access activities Scheduling, Pre-Registration, Financial Clearance, Referrals, Authorizations, Financial Counseling, and Patient Arrival/Registration, as assigned.
- Obtain, verify and update patient demographic, financial information, insurance eligibility and benefits, to ensure patients are financial cleared for services and data accuracy in the system.
- Perform proper system search to secure a medical record number or assign a new one without duplication. Consistently follow CSMC Patient Identification Policy when assigning and verifying MRN.
- Perform proper selection of physician(s) Referring, Attending, Admitting and PCP. Recognize privileging issues (physician suspensions) and follows appropriate procedures.
- Determine and explain 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.
- Maintain patient confidentiality.
- Monitor and resolve WQs and Scorecard errors daily and without exception.
- Know and adhere to state, federal and regulatory requirements, and CSMC policy specific to the admissions department.