Patient Access Representative II
4 days ago
Job Summary
Cedars-Sinai is seeking a highly skilled Patient Access Representative II to perform all admissions activities for pre-admit and face-to-face registration of patients presenting to Admissions and/or outpatient areas for treatment.
Key Responsibilities
- Perform all registration activities for patients presenting to all patient access areas, including cross-trained and competent to perform in no less than 3 patient access functions and/or patient access areas.
- Obtain financial clearance and determines patient's correct financial classification, perform insurance verification electronically, telephonically, or through product website(s).
- Perform proper system search to secure a medical record number (MRN) or assign a new MRN without duplication, consistently follows CSMC Patient Identification Policy when assigning and verifying MRN.
- Perform proper selection of physician, recognize privileging issues (physician suspensions), know how to handle and resolve physician privilege and suspension issues.
- Demonstrate superior patient interviewing skills, interact with patients and performs job duties with sensitivity and attention to the patients being served.
- Competent to independently handle routine / frequent inquiries from patients, patient representatives and insurance companies, escalates issues appropriately.
- Demonstrate collection skills, able to determine and explain patient financial obligation and collect funds when appropriate, meets or exceeds cash collection goals.
- Work and resolve QA error worklist daily and without exception.
- Interact with physicians and specialty departments to assure accurate intake of information required for complete registration.
- Demonstrate the ability to clearly explain registration and consent forms to the patient and obtain necessary signatures.
- Demonstrate the ability to assemble registration paperwork for inclusion on the patient chart, scan all appropriate documents into scanning system for retrieval as necessary.
- Demonstrate competency regarding navigation and entering patient and financial information in the ADT system.
- Maintain patient confidentiality, know and adhere to CSMC and HIPAA regulations regarding patient privacy and release of information.
Requirements
- High School Diploma/GED required, Bachelor's Degree in Hospital Administration or equivalent preferred.
- Two (2) 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.
- Experience answering multi-line and high-volume telephone calls in a healthcare setting or related field preferred, medical or healthcare call center experience preferred.
- Scheduling flexibility and timeliness including evening and weekend commitments.
About Us
Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research, setting standards in quality and innovative patient care, research, teaching and community service.
About the Team
Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff.
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