Patient Service Representative II - Thoracic Surgery Clinic

Patient Service Representative II

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai received the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year, 3 years in a row. This recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an outstanding benefit package and competitive compensation. Come find out why Cedars-Sinai was Voted #1 in California by U.S. News Best Hospitals!

Why work here?

Beyond an outstanding benefit package and competitive salaries, we take pride in hiring the best, most committed employees. Our staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a multifaceted, inclusive environment that fuels innovation and the gold standard of patient care we strive for.

What will you be doing in this role?

The Patient Service Representative II (PSR II), following established practices, policies, and guidelines, provides clerical and administrative support/duties while handling high volume of patient coordination and complex scheduling in the licensed clinics at Cedars-Sinai Medical Center. The PSR II is cross-trained to cover multiple providers and is a resource.

These responsibilities include:

• Answering and triaging calls- directing to appropriate individuals or departments.
• Scheduling and authorization for appointments, surgeries, and ancillary services.
• Perform insurance verification functions.
• Process and track all incoming and outgoing referrals.
• Sorting and deposition of mail and patient information in compliance with HIPAA rules and regulations following Cedars-Sinai standards.
• Assist in all work assignments.

Responsibilities

• Independently manages patient check-in and check-out procedures, including payment collection and reconciliation.
• Maintains patient demographic and insurance information in the CS-Link system, ensuring high accuracy and data integrity.
• Schedules and coordinates patient appointments effectively to ensure smooth patient flow. Maintains knowledge & understanding of scheduling protocols, guidelines & 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.
• Coordinates procedure/testing with other departments and ancillary services, monitors daily patient schedule and identifies "no show" for rescheduling.
• Analyzes and understands complex healthcare insurance benefits to assess patients' out-of-pocket expenses and authorization requirements.
• Manages providers master schedules, handling all changes and patient/provider correspondence.
• Coordinates patient referrals and authorizations, ensuring that all patient interactions align with healthcare regulatory standards and Cedars-Sinai Medical Center's best practices.
• Participates actively in departmental huddles and staff meetings, occasionally leading discussions or presentations.
• Manages department-specific data and workflows using lean methodology.
• Promotes and adheres to all infection prevention standards and department policies and procedures.
• Retrieves and obtains records as needed per clinical protocol. Responsible for following CSMC and HIPAA confidentiality guidelines while performing all duties.
• Manages patient flow in clinic, participates and guide patient for work-up in other departments as necessary. Liaison between patient and clinical team.
• Performs courier services within the medical center vicinity such as picking up/dropping off supplies, etc.
• Utilizes a consistent telephone greeting, answers telephones, takes complete and accurate messages, triages and relays to appropriate party to support the operational aspects of patient care. May utilize automated call distribution system (ACD).

Qualifications

Required Qualifications:

• High School Diploma/GED.
• 2+ years of experience working with insurance companies and obtaining authorizations.