Patient Access Rep I - MGB Reg & Ops - Full-Time, On-Site, Days & Weekend

Cedars-Sinai Medical Center; Los Angeles (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare organization in Los Angeles is seeking a Patient Access Representative I to facilitate patient access to care. The role involves customer service, insurance verification, and financial counseling. Candidates must possess a High School Diploma and have flexibility for scheduling, including weekend work. Ideal applicants should have previous healthcare experience and familiarity with EPIC EMR systems. Join a team committed to providing high-quality patient services and making a difference in the community.

Qualifications

• High School Diploma/GED required, Associate Degree preferred.
• One year of customer service experience in healthcare preferred.
• Experience in Patient Access or Revenue Cycle roles preferred.
• Scheduling flexibility including weekend commitments.

Responsibilities

• Perform Patient Access activities like Scheduling, Pre-Registration.
• Verify and update patient information and insurance eligibility.
• Explain registration and consent forms to patients.
• Collect patient payments and explain financial obligations.

Skills

Customer Service

Insurance Verification

Financial Counseling

Data Accuracy

Education

High School Diploma/GED

Associates Degree in Hospital Administration

Tools

EPIC EMR

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.

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.
• 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.
• EPIC EMR & insurance verification experience strongly desired.
• Scheduling flexibility and timeliness including weekend commitments.

Tentative Work Schedule: 10:00a – 6:30p, one day of the weekend included

About Us

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.

About the Team

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.

Job Info

• Job Identification 15115
• Legal Employer Cedars-Sinai Medical Center
• Department CSMC 8570005 CSRC MGB Reg and Ops
• Job Category Administrative
• Job Function Admissions/Registration