Patient Access Rep III - Patient Access Contact Center - GI - Full-Time, On-Site, Days

Patient Access Rep III

Ready to bring your skills to a world-class healthcare organization recognized as one of the top ten in the United States? 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.

Primary Duties & Responsibilities

• Perform all admissions activities for pre-admit & face-to-face registration of patients presenting to the Main Admissions and/or outpatient areas for treatment
• Obtain 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.
• Perform proper system search to secure a medical record number or assign a new one without duplication.
• Perform proper selection of physician. Recognizes privileging issues (physician suspensions). Knows how to handle and resolve physician privilege and suspension issues.
• Demonstrate strong patient interviewing skills. Interact 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. Escalate issues appropriately.
• Demonstrate collection skills. Able to determine and explain patient financial obligation (deductibles). Meet or exceed cash collection goals.
• Interact with physicians and specialty departments to assure accurate intake of information required for registration and account adjustments
• Demonstrate the ability to compile reports upon request through all available resources.
• Clear 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: Complete no less than 30 registrations per shift on average. (may vary by admissions area) & handle no less than 10 inquiries per day from patients, physicians, family members and internal staff.
• Know and adhere to state, federal and regulatory requirements, and CSMC policy specific to the admissions department.

Education, Experience & Skills 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, Registration, Financial Clearance, Scheduling, or Revenue Cycle related roles, including physician offices, healthcare insurance companies, or other revenue cycle related functions required.
• Certified Healthcare Access Associate (CHAA) preferred.
• Experience answering multi-line and high-volume telephone calls in a healthcare setting or call center setting is highly preferred.