Patient Access Rep III - Pre-Registration - Full-Time, On-Site, Days

Cedars-Sinai; Los Angeles (CA); Hybrid; USD 55,000 - 70,000; Full time

Job summary

Cedars-Sinai Health System in Los Angeles, CA is seeking a Patient Access Rep III. This advanced role performs pre-admit and face-to-face registrations, handles insurance verification, and secures patient financial clearance.

The position is remote eligible after successful completion of on-site training. A high level of proficiency in admissions duties and strong customer service are essential, with responsibilities spanning registration, eligibility checks, and cash handling within the

Qualifications

• High School Diploma/GED required; Bachelor's in Hospital Administration or equivalent preferred; Associate's or Interpreter preferred.
• Two years of healthcare experience in Patient Access/Registration/Revenue Cycle functions required.
• Certified Healthcare Access Associate (CHAA) preferred.
• Strong customer service and prior collections or sales experience preferred.
• Proficiency with EPIC and virtual meeting environments (Microsoft Teams, Zoom) desired.

Responsibilities

• Perform admissions activities for pre-admit and face-to-face registration for main Admissions and outpatient areas.
• Obtain financial clearance and determine patient9s correct financial classification; perform insurance verification electronically, telephonically, or via website.
• Secure a medical record number and manage physician selection; resolve privilege or suspension issues.
• Interact with patients, families, and insurers with professionalism and accuracy; assist in account adjustments and reporting.

Skills

Customer service

Collections experience

Sales experience

EPIC proficiency

Microsoft Teams

Zoom

Education

High School Diploma/GED

Bachelor's Degree in Hospital Administration or equivalent

Associate's Degree or Qualified Interpreter

Tools

EPIC

Microsoft Teams

Zoom

Job description

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.

Job Description

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

• Perform all admissions activities for pre-admit & face-to-face registration of patients presenting to the Main Admissions and/or outpatient areas for treatment
• Obtain 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.
• Perform proper system search to secure a medical record number or assign a new one without duplication.
• Perform proper selection of physician. Recognizes privileging issues (physician suspensions). Knows how to handle and resolve physician privilege and suspension issues.
• Demonstrate strong patient interviewing skills. Interact 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. Escalate issues appropriately.
• Demonstrate collection skills. Able to determine and explain patient financial obligation (deductibles). Meet or exceed cash collection goals.
• Interact with physicians and specialty departments to assure accurate intake of information required for registration and account adjustments
• Demonstrate the ability to compile reports upon request through all available resources.
• Clear 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: Complete no less than 30 registrations per shift on average. (may vary by admissions area) & handle no less than 10 inquiries per day from patients, physicians, family members and internal staff.
• Know and adhere 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. Associate\'s Degree or Qualified Interpreter 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.
• Strong customer service and prior collections or sales experience is preferred.
• Proficiency with EPIC & virtual meeting environments (Microsoft Teams, Zoom, etc.) is desired.
  
  

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