Patient Access Rep IV - Central Authorization Unit


 

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Do you love helping people every single day? Are you enthusiastic about providing outstanding and high-quality service to patients and their family members?

If you thrive in a dynamic environment, excel at multi-tasking and are ready to seek the exciting and important responsibilities of a Patient Access Representative, please consider this wonderful opportunity and apply!

As a Patient Access Representative, you are the face of Cedars-Sinai and can make a difference for our patients. You will be responsible for registering patients presenting to the medical center for treatment. Your priority is to deliver high quality and effective service to our patients and their family members.

What you will be doing in this role:

The Patient Access Rep IV is an expert level position and demonstrates the highest level of proficiency 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 PAR IV will be able to assist the department lead and supervisor with coordination of workflow 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. The PAR IV:

  • 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 advances 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.

Requirements:

  • High School or GED required. Bachelor's degree preferred.
  • CHAA Certification required upon hire.
  • A minimum of 4 years of experience in a healthcare related field, preferably within the department or within the Cedars-Sinai system.
  • Prior Authorization processes experience sought.

Why Work at Cedars?

Beyond outstanding employee benefits including health and dental insurance, paid vacation, and a 403(b), we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation.



Working Title: Patient Access Rep IV - Central Authorization Unit
Department: Central Authorization Unit
Business Entity: Cedars-Sinai Medical Center
Job Category: Administrative
Job Specialty: Admissions/Registration
Position Type: Full-time
Shift Length: 8 hour shift
Shift Type: Day
Base Pay:$26.31 - $40.78

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