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.
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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