Patient Service Representative II - Psych Rehab - Full Time

CEDARS-SINAI; Los Angeles (CA); On-site; USD 42,000 - 60,000; Full time

Job summary

Cedars-Sinai in Los Angeles is seeking a Patient Service Representative II to manage high-volume patient coordination, check-in/out, insurance data, and scheduling in licensed clinics. The role supports patient flow and ensures accuracy in the CS-Link system while upholding HIPAA guidelines.

This position emphasizes delivering high-quality patient service, coordinating referrals, and collaborating with providers.

Qualifications

• High School Diploma/GED.
• 2+ years of experience working with insurance companies and obtaining authorizations.

Responsibilities

• Independently handles patient check-in and check-out, including payment collection and reconciliation.
• Maintains patient demographics and insurance information in the CS-Link system with high accuracy.
• Schedules and coordinates patient appointments to ensure smooth patient flow and follows scheduling protocols.
• Coordinates procedures/testing with departments and monitors the daily schedule for no-shows.
• Reviews insurance benefits to assess patient out-of-pocket costs and authorization requirements.
• Manages provider master schedules and patient/provider communications.
• Coordinates referrals and authorizations ensuring regulatory compliance and best practices.
• Participates in departmental huddles and staff meetings, occasionally leading discussions.
• Manages department data/workflows using lean methodology.
• Follows infection prevention standards and department policies.
• Retrieves and handles records per clinical protocol, adhering to HIPAA.

Job description

Job Description

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai received the National Research Corporation’s Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year, 3 years in a row. This recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an outstanding benefit package and competitive compensation. Come find out why Cedars-Sinai was Voted #1 in California by U.S. News Best Hospitals!

Cedars-Sinai Cancer’s Patient and Family Support Program(PFSP) is committed to supporting patients and their families as they confront the challenges of cancer. Our team of dedicated experts provides compassionate, personalized care for people affected by cancer and those close to them. We provide resources to help patients prevent and relieve physical, psychological, social and spiritual suffering; plan their future; achieve life goals and navigate any care changes.

Why work here?Beyond an outstanding benefit package and competitive salaries, we take pride in hiring the best, most committed employees. Our staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a multifaceted, inclusive environment that fuels innovation and the gold standard of patient care we strive for.

The Patient Service Representative II (PSR II), follows established practices, policies and guidelines, provides clerical and administrative support/duties while handling high volume of patient coordination and complex scheduling. The Patient Service Rep II plays a key role in maintaining our high standards of patient service and care.

What will you be doing in this role?The Patient Service Representative II (PSR II), following established practices, policies, and guidelines, provides clerical and administrative support/duties while handling high volume of patient coordination and complex scheduling in the licensed clinics at Cedars-Sinai Medical Center. The PSR II is cross- trained to cover multiple providers and is a resource.

• Independently manages patient check-in and check-out procedures, including payment collection and reconciliation.
• Maintains patient demographic and insurance information in the CS-Link system, ensuring high accuracy and data integrity.
• Schedules and coordinates patient appointments effectively to ensure smooth patient flow. Maintains knowledge & understanding of scheduling protocols, guidelines & standard operating procedures. May perform special scheduling requests from leadership or multi-coordination scheduling (e.g., echo, EKG, Zio, labs) following provider visit sequencing, such as panel visits.
• Coordinates procedure/testing with other departments and ancillary services, monitors daily patient schedule and identifies “no show” for rescheduling.
• Analyzes and understands complex healthcare insurance benefits to assess patients’ out-of-pocket expenses and authorization requirements.
• Manages providers master schedules, handling all changes and patient/provider correspondence.
• Coordinates patient referrals and authorizations, ensuring that all patient interactions align with healthcare regulatory standards and Cedars-Sinai Medical Center's best practices.
• Participates actively in departmental huddles and staff meetings, occasionally leading discussions or presentations.
• Manages department-specific data and workflows using lean methodology.
• Promotes and adheres to all infection prevention standards and department policies and procedures.
• Retrieves and obtains records as needed per clinical protocol. Responsible for following CSMC and HIPAA confidentiality guidelines while performing all duties.
• Manages patient flow in clinic, participates and guide patient for work-up in other departments as necessary. Liaison between patient and clinical team.
• Performs courier services within the medical center vicinity such as picking up/dropping off supplies, etc. Maintains patient demographic and insurance information in the CS-Link system, ensuring high accuracy and data integrity.
• Utilizes a consistent telephone greeting, answers telephones, takes complete and accurate messages, triages and relays to appropriate party to support the operational aspects of patient care. May utilize automated call distribution system (ACD).

Qualifications

Required Qualifications:

• High School Diploma/GED.
• 2+ years of experience working with insurance companies and obtaining authorizations.