Patient Access Rep III - Central Authorization - Full-Time, On-Site, Days

Cedars-Sinai; Los Angeles (CA); Presencial; USD 48 000 - 64 000; Tempo integral

Resumo da oferta

Cedars-Sinai is seeking a Patient Access Rep III in Los Angeles to handle advanced admissions activities, including pre-admit and face-to-face registrations. You will verify insurance and financial information, secure patient records, and ensure accurate account setup across multiple departments.

The role requires 2+ years in healthcare revenue cycle or related areas, multitasking in a high-volume environment, and excellent customer service.

Qualificações

• High School Diploma/GED required.
• Bachelor's Degree in Hospital Administration or equivalent preferred.
• Two (2) years of healthcare experience in Patient Access, Registration, Financial Clearance, Scheduling, or Revenue Cycle related roles required.
• Certified Healthcare Access Associate (CHAA) preferred.
• Prior referral or authorization experience strongly preferred.
• Ability to multitask and work in a high volume environment is desired.

Responsabilidades

• Performs all admissions activities for pre-admit and face-to-face registration of patients presenting to the Main Admissions and/or outpatient areas for treatment.
• Obtains financial clearance and determines patient's correct financial classification. Performs insurance verification electronically, telephonically, DDE or product website use on Medicare, Medicaid, HMO, PPO or commercial products.
• Performs proper system search to secure a medical record number or assign a new one without duplication.
• Performs proper selection of physician. Recognizes privileging issues (physician suspensions). Knows how to handle and resolve physician privilege and suspension issues.
• Demonstrates strong patient interviewing skills. Interacts with patients and performs job duties with sensitivity and attention to the patient population(s) being served
• Competent to independently handle routine / frequent inquiries from patients, patient representatives and insurance companies. Escalates issues appropriately.
• Demonstrates collection skills. Able to determine and explain patient financial obligation (deductibles). Meets or exceeds cash collection goals.
• Interacts with physicians and specialty departments to assure accurate intake of information required for registration and account adjustments
• Demonstrates the ability to compile reports upon request through all available resources.
• Clears RQI worklists daily and assists others when necessary
• Is competent in ALL areas of their registration area and demonstrates the ability to assist anywhere in their respective department.
• Productivity requirement: Completes no less than 30 registrations per shift on average. (may vary by admissions area)
• Productivity requirement: Handles no less than 10 inquiries per day from patients, physicians, family members and internal staff.
• Knows and adheres to state, federal and regulatory requirements, and CSMC policy specific to the admissions department.

Conhecimentos

Customer service

Registration

Insurance verification

Patient access

Multitasking

Formação académica

High School Diploma/GED

Bachelor's Degree in Hospital Administration or equivalent (preferred)

Descrição da oferta de emprego

Job Description

**This position is remote eligible AFTER successful completion of on-site training.**

Ready to bring your skills to a world-class healthcare organization recognized as one of the top ten in the United States? Join our team!

The Patient Access Rep III is an advanced level position and is expected to have a high level of proficiency in all department duties and be competent to fill in on an interim basis in any department within Admissions with minimal refresher training. The PAR III performs all admissions activities for pre-admit and face-to-face registration of patients presenting to any registration area for service. Facilitates patient access to Cedars Sinai Medical Center and secures all demographic and financial patient registration information, including the following: Registration, Pre Registration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing 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

• Performs all admissions activities for pre-admit and face-to-face registration of patients presenting to the Main Admissions and/or outpatient areas for treatment
• Obtains financial clearance and determines patient's correct financial classification. Performs insurance verification electronically, telephonically, DDE or product website use on Medicare, Medicaid, HMO, PPO or commercial products.
• Performs proper system search to secure a medical record number or assign a new one without duplication.
• Performs proper selection of physician. Recognizes privileging issues (physician suspensions). Knows how to handle and resolve physician privilege and suspension issues.
• Demonstrates strong patient interviewing skills. Interacts with patients and performs job duties with sensitivity and attention to the patient population(s) being served
• Competent to independently handle routine / frequent inquiries from patients, patient representatives and insurance companies. Escalates issues appropriately.
• Demonstrates collection skills. Able to determine and explain patient financial obligation (deductibles). Meets or exceeds cash collection goals.
• Interacts with physicians and specialty departments to assure accurate intake of information required for registration and account adjustments
• Demonstrates the ability to compile reports upon request through all available resources.
• Clears RQI worklists daily and assists others when necessary
• Is competent in ALL areas of their registration area and demonstrates the ability to assist anywhere in their respective department.
• Productivity requirement: Completes no less than 30 registrations per shift on average. (may vary by admissions area)
• Productivity requirement: Handles no less than 10 inquiries per day from patients, physicians, family members and internal staff.
• Knows and adheres to state, federal and regulatory requirements, and CSMC policy specific to the admissions department.

Qualifications

Education, Experience & Skills Requirements:

• High School Diploma/GED required. Bachelor's Degree in Hospital Administration or equivalent preferred.
• Two (2) years of healthcare experience working in Patient Access, Registration, Financial Clearance, Scheduling, or Revenue Cycle related roles, including physician offices, healthcare insurance companies, or other revenue cycle related functions required.
• Certified Healthcare Access Associate (CHAA) preferred.
• Prior referral or authorization experience strongly preferred.
• Ability to multitask and work in a high volume environment is desired.

Tentative Work Shift Schedule: Monday - Friday 8:30am - 5:00pm

**This position is remote eligible AFTER successful completion of on-site training.**