Job Description
Come 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.
What are the 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 & License/Certification Requirements:
- High School Diploma/GED required. Bachelor's Degree in Hospital Administration or equivalent preferred.
- Three (3) years of healthcare experience working in Patient Access or Revenue Cycle department, physician office, healthcare insurance company, and/or other revenue cycle related roles required.
- Certified Healthcare Access Associate (CHAA) preferred
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About Us
About the Team
Req ID : 6383
Working Title : Patient Access Rep III - Patient Access Contact Center - 8 Hour, Day Shift
Department : CSRC Sched Reg Patient Access
Business Entity : Cedars-Sinai Medical Center
Job Category : Administrative
Job Specialty : Admissions/Registration
Overtime Status : NONEXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $25.06 - $37.59
Our compensation philosophy
We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Pay Transparency Non Discrimination Provision (PDF) (opens in new window)
Diversity and Inclusion at Cedars-Sinai
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve. Quality Care and Research—For All, By All (opens in new window).
Cedars-Sinai is an Equal Employment Opportunity employer.
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy. Cedars-Sinai’s AA Policy Statement (PDF) (opens in new window)
