Hybrid Patient Access Representative IV – Quality Assurance

at Cedars-Sinai

• Job title: Patient Access Representative IV – Quality Assurance
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $28 - $43 per hour
• Degree requirement: High School Diploma
• Tech skills: Cloud
• Location requirements: Hybrid, Los Angeles, United States

About the role

• Expert Patient Access Representative at Cedars-Sinai handling admissions, registrations, and financial clearances. Responsible for patient demographics and insurance verifications.

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.

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.
• Prior quality assurance or call monitoring experience within healthcare, customer service, or contact center operations is preferred.
• Experience with EPIC scheduling (Cadence, Referrals, or Decision Tree workflows) is preferred.
• Familiarity with Genesys Cloud, NICE, or similar platforms is beneficial.

Benefits

• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements