Patient Access Rep II - Patient Access Contact Center - Ambulatory Clinics (Full-Time, On-Site,[...]

Job Description

This position is remote eligible after successful completion of on‑site training.

Are you ready to bring your skills to a world‑class healthcare organization recognized as one of the top ten in the United States? Come join our team!

The Patient Access Rep II performs all admissions activities for pre‑admit and face‑to‑face registration of patients presenting to Admissions and/or outpatient areas for treatment.

Facilitates patient access to Cedars‑Sinai Medical Center and secures all demographic and financial patient registration information, including registration, pre‑registration, government and non‑government insurance verification, eligibility verification, workers compensation eligibility, and securing cash deposits (co‑pays, deductibles, cash packages).

Demonstrates ability to perform job duties and interact with customers with sensitivity and attention to the patient population(s) served.

Provides superior customer service through all personal and professional interactions with all customers within the Cedars‑Sinai Health System.

Primary Duties and Responsibilities

• Performs all registration activities for patients presenting to all patient access areas. Cross trained and competent to perform in no less than 3 patient access functions and/or patient access areas.
• Obtains financial clearance and determines patient's correct financial classification. Performs insurance verification electronically, telephonically, or through product website(s).
• Performs 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.
• Performs proper selection of physician. Recognizes privileging issues (physician suspensions). Knows how to handle and resolve physician privilege and suspension issues.
• Demonstrates superior 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 and collect funds when appropriate. Meets or exceeds cash collection goals.
• Works and resolves QA error worklist daily and without exception.
• Interacts with physicians and specialty departments to assure accurate intake of information required for complete registration.
• Demonstrates the ability to clearly explain registration and consent forms to the patient and obtain necessary signatures.
• Demonstrates the ability to assemble registration paperwork for inclusion on the patient chart. Scans all appropriate documents into scanning system for retrieval as necessary.
• Demonstrates competency regarding navigation and entering patient and financial information in the ADT system.
• Maintains patient confidentiality. Knows and adheres to CSMC and HIPAA regulations regarding patient privacy and release of information.

Qualifications

Education & Experience Requirements:

• High School Diploma/GED required. Bachelor's Degree in Hospital Administration or equivalent preferred.
• One (1) year of healthcare experience working in Patient Access, Registration, Financial Clearance, Scheduling, or Revenue Cycle related roles, including physician offices, healthcare insurance companies, or other revenue cycle related functions required.
• Experience answering multi‑line and high‑volume telephone calls in a healthcare setting or related field preferred.
• Medical or healthcare call center experience strongly desired.