Northern California HERC

Job Description

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.

Qualifications

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.
• Prior call center and cancer center experience is strongly desired.

Tentative Work Schedule: Monday - Friday 8:00am - 4:30pm

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

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About Cedars-Sinai Medical Center

Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competi...tive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.

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