Patient Access Rep I - CSRC AHSP Reg and Ops - Part-Time, On-Site, Evenings

Job Description

Are you passionate about providing outstanding and high-quality service to patients and their family members? 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 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.

Qualifications

Education & Experience Requirements:

• High School Diploma/GED required. Associate Degree/College Diploma in Hospital Administration or equivalent preferred.
• One (1) year of customer service experience required, preferably in a healthcare setting
• Two (2) years of experience in healthcare experience working in Patient Access or Revenue Cycle department, physician office, healthcare insurance company, and/or other revenue cycle related roles preferred.

Overtime Status: NONEXEMPT

Shift Length: 8 hour

Salary Range: $21.00 - $31.96

Department: CSRC AHSP Reg and Ops