Patient Access Rep IV - Central Authorization - Full-Time, On-Site, Days

This position is remote eligible AFTER successful completion of on-site training.

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Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report’s “Best Hospitals 2024-2025” rankings . At Cedars-Sinai, we take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, 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 Access Rep IV is an expert level position and must demonstrate the highest level of competency in all core duties. The P.A.R. IV 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. Facilitates patient access to Cedars Sinai Medical Center and secures all demographic and financial patient registration information. This will include the following: Registration, Preregistration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing cash deposits (co-pays, deductibles, cash packages).

At this level, the PAR IV is the subject-matter expert and go-to resource person. It is expected the P.A.R. IV will be able to assist the department lead and supervisor with coordination of work flow and is competent to fill in any admissions area with no additional training. Demonstrates competency skills including the ability to perform job duties and interact with customers with sensitivity and attention to the patient population(s) served.

Primary Duties and Responsibilities

• Performs all admissions activities for pre-admit and face-to-face registration of patients presenting to Registration for treatment.
• Obtains financial clearance and determines patient's correct financial classification. Performs insurance verification electronically, telephonically, or product website use on all government and non-government accounts.
• Performs proper system search to secure a medical record number or assign a new one 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 excellent patient interviewing skills. Interacts with patients and performs job duties with sensitivity and attention to the patient population(s) being served.
• Independently handles inquiries and escalates issues and follows through to resolution with appropriate notification to management. Makes sound decisions if management unavailable.
• Demonstrates collection skills. Able to determine and explain patient financial obligation (deductibles) and collect funds. Meets or exceeds cash collection goals. Reconciles petty cash if applicable.
• Interacts with physicians and specialty departments to assure accurate intake of information required for registration and account adjustments.
• Demonstrates proficiency regarding navigation and entering patient and financial information in the hospital ADT system and associated systems. Demonstrates skill level allowing consideration for super user status.
• Train front line staff on forms, explanations and proper protocol for signature procurement, and understanding and updating applications used to manage patient accounts. Assist front line staff with patient inquiries and system questions. Assist customer service team with challenging situations.
• Compose business correspondence, reports and spreadsheets upon request.
• Develops and maintains courteous working relationships with peers in client departments.

Education, Experience 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, Registration, Financial Clearance, Scheduling, or Revenue Cycle related roles, preferably within the department or the Cedars-Sinai health system required.
• Certified Healthcare Access Associate (CHAA) preferred upon hire.
• Demonstrated expertise in insurance verification and authorization submission preferred.
• Proficiency with EPIC and EMR systems, including medical record and chart review preferred.
• Strong customer service experience.
• Medical coding certification is preferred.

Tentative Work Shift Schedule : Monday - Friday 8:30am - 5:00pm

Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.