Patient Access Rep I - ED LD Registration & Operations - Full-Time, 10 Hour, On-Site, Evenings [...]

Cedars-Sinai; Los Angeles (CA); On-site; USD 45,000 - 60,000; Full time

Job summary

Cedars-Sinai seeks a Patient Access Representative I to welcome patients and facilitate access to care across inpatient, outpatient, and emergency services.

The role involves cross-training across Patient Access, Scheduling, Pre-Registration, Financial Clearance, Referrals, Authorizations, Financial Counseling, and Registration, with responsibility for insurance eligibility verification and patient estimates.

Qualifications

• High School Diploma or GED required.
• Assoc. degree in Hospital Administration or equivalent preferred.
• 1 year of customer service experience required.
• 1 year of healthcare experience in Patient Access or Revenue Cycle preferred.

Responsibilities

• Performs Patient Access activities including Scheduling, Pre-Registration, Financial Clearance, Referrals, Authorizations, Financial Counseling, and Patient Arrival/Registration.
• Verifies insurance eligibility and benefits; explains patient estimates and collects applicable fees.
• Assigns and verifies MRN with adherence to Patient Identification Policy.
• Explains registration and consent forms and ensures patient confidentiality.
• Maintains compliance with state, federal, and regulatory requirements relevant to admissions.

Skills

Customer service

Education

High School Diploma/GED

Associates degree in Hospital Administration

Job description

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.

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.

Qualifications

Education & Experience Requirements:

• High School Diploma/GED required. Assoc. Degree/College Diploma in Hospital Administration or equivalent preferred.


• One (1) year of customer service experience, preferably in a healthcare or service-oriented setting required.


• One (1) year of healthcare experience working in Patient Access or Revenue Cycle department, physician office, healthcare insurance company, and/or other revenue cycle related roles preferred.


• Schedule flexibility including weekend & holiday availability.

Tentative Work Schedule:

Start time between 12:00pm and 5:00pm, 10 hour shifts & one weekend day each weekend.