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Patient Access Rep IV - Patient Access Contact Center - Quality Assurance - Full-Time, Hybrid
Job Description
Grow your career at Cedars-Sinai!
Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report’s “Best Hospitals 2024-2025” rankings. At Cedars-Sinai, we take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.
What will you be doing in this role?
The Patient Access Rep IV is an expert level position and must demonstrate the highest level of competency in all core duties. The P.A.R. IV 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. Facilitates patient access to Cedars Sinai Medical Center and secures all demographic and financial patient registration information. This will include the following: Registration, Preregistration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing cash deposits (co-pays, deductibles, cash packages).
At this level, the PAR IV is the subject-matter expert and go-to resource person. It is expected the P.A.R. IV will be able to assist the department lead and supervisor with coordination of work flow and is competent to fill in any admissions area with no additional training. Demonstrates competency skills including the ability to perform job duties and interact with customers with sensitivity and attention to the patient population(s) served.
Primary Duties and Responsibilities:
- Performs all admissions activities for pre-admit and face-to-face registration of patients presenting to Registration for treatment.
- Obtains financial clearance and determines patient's correct financial classification. Performs insurance verification electronically, telephonically, or product website use on all government and non-government accounts.
- 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. Recognizes privileging issues (physician suspensions). Knows how to handle and resolve physician privilege and suspension issues
- Demonstrates excellent patient interviewing skills. Interacts with patients and performs job duties with sensitivity and attention to the patient population(s) being served.
- Independently handles inquiries and escalates issues and follows through to resolution with appropriate notification to management. Makes sound decisions if management unavailable.
- Demonstrates collection skills. Able to determine and explain patient financial obligation (deductibles) and collect funds. Meets or exceeds cash collection goals. Reconciles petty cash if applicable.
- Interacts with physicians and specialty departments to assure accurate intake of information required for registration and account adjustments.
- Demonstrates proficiency regarding navigation and entering patient and financial information in the hospital ADT system and associated systems. Demonstrates skill level allowing consideration for super user status.
- Train front line staff on forms, explanations and proper protocol for signature procurement, and understanding and updating applications used to manage patient accounts. Assist front line staff with patient inquiries and system questions. Assist customer service team with challenging situations.
- Compose business correspondence, reports and spreadsheets upon request.
- Develops and maintains courteous working relationships with peers in client departments.
Qualifications
Education & Experience 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, Registration, Financial Clearance, Scheduling, or Revenue Cycle related roles, preferably within the department or the Cedars-Sinai health system required.
- Certified Healthcare Access Associate (CHAA) preferred upon hire.
- Prior quality assurance or call monitoring experience within healthcare, customer service, or contact center operations is preferred.
- Experience with EPIC scheduling (Cadence, Referrals, or Decision Tree workflows) is preferred.
- Familiarity with Genesys Cloud, NICE, or similar platforms is beneficial.
About Us
About the Team
Req ID : 14636
Working Title : Patient Access Rep IV - Patient Access Contact Center - Quality Assurance - Full-Time, Hybrid
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 : $27.63 - $42.83
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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.
Our compensation philosophy
We offer a competitive compensation package for our employees. The base pay range shown generally applies to the greater Los Angeles area and may vary based on work location. Our range 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. The base pay range does not include any incentive payments that may be applicable to a role. Pay Transparency Non-Discrimination Provision (PDF) .
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). 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 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.
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