Remember when you said you wanted to make a difference? Here is your chance.

Job Description

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles and the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes health care, paid time off, and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.

As a Patient Service Representative II at Cedars-Sinai, you will serve a key function in our Anesthesia Pain Center. With general supervision and adherence to set procedures, policies, and guidelines, you will identify, analyze, resolve, and address customer inquiries, concerns, and issues. The ideal candidate demonstrates solid experience in revenue cycle operations and a comprehensive knowledge of regulatory requirements along with Cedars-Sinai policies related to billing and collections.

What will you be doing in this role?

• Independently manage patient check-in and check-out procedures, including payment collection and reconciliation.
• Maintain patient demographic and insurance details in the CS-Link system, ensuring high accuracy and data integrity.
• Schedule and coordinate patient appointments effectively to ensure smooth patient flow. Maintain knowledge and understanding of scheduling protocols, guidelines, and 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.
• Coordinate procedures and testing with other departments and ancillary services, monitor daily patient schedule, and identify “no show” appointments for rescheduling.
• Analyze and understand complex healthcare insurance benefits to assess patients’ out-of-pocket expenses and authorization requirements.
• Manage providers' master schedules, handling all changes and patient/provider correspondence.
• Coordinate patient referrals and authorizations, ensuring that all patient interactions align with healthcare regulatory standards and Cedars-Sinai Medical Center's guidelines.
• Participate actively in departmental huddles and staff meetings, occasionally leading discussions or presentations.
• Manage department-specific data and workflows using lean methodology.
• Promote and adhere to all infection prevention standards and department policies and procedures.
• Retrieve and acquire records as needed per clinical protocol. Follow CSMC and HIPAA confidentiality guidelines while performing all duties.
• Manage patient flow in the clinic, participate and guide patients for work-up in other departments as necessary. Act as a liaison between patients and the clinical team.
• Provide courier services around the medical center area, including picking up and delivering supplies. Maintain patient demographic and insurance details in the CS-Link system, ensuring precise and accurate data.
• Apply a consistent telephone greeting, answer calls, take complete and accurate messages, triage, and relay them to the right party to support patient care. May use an automated call distribution system (ACD).

Qualifications

Education:

• High School Diploma or equivalent experience required.
• Associate Degree/College Diploma – Preferred

Experience:

• 2 years of experience working with insurance companies and acquiring authorizations required.
• One (1) year of EPIC experience, CPT coding medical procedures, understanding insurance guidelines, attention to detail, and the ability to educate providers and staff on insurance and procedures guidelines highly preferred.

Join our team and help us continue to provide outstanding patient care in a cooperative and innovative environment. Your ability to effectively apply our high standards will make a meaningful impact on those we serve. Together, we will strive to set new benchmarks in healthcare excellence!