Senior Patient Service Rep, PACT - Operations Float Pool

Senior Patient Service Representative - Pact (Float Pool)

The Senior Patient Service Representative - PACT (Float Pool) at Cedars-Sinai Medical Network is a vital role within patient services. The role is an administrative professional responsible for coordinating the daily operations of patient services across multiple medical practice locations. The position involves handling patient check-in/check-out procedures, including collection and reconciliation of payments. Verifies insurance eligibility, assesses benefits and authorization requirements, and determines patient's out-of-pocket expenses. A solid understanding of all Health Information Management (HIM) related activities is integral to the role.

Duties and responsibilities include:

• Overseeing check-in and check-out procedures for patients, including payment collection and reconciliation.
• Maintaining and managing patient demographic and insurance information in the CS-Link system, ensuring data accuracy.
• Scheduling and coordinating patient appointments, ensuring efficient patient flow and satisfaction.
• Using in-depth knowledge of healthcare insurance and benefits to assess authorization requirements and patient's out-of-pocket expenses.
• Analyzing, evaluating, and resolving insurance issues by coordinating with insurance companies.
• Acting as liaison coordinating administrative support activities including facilities management, patient billing, utilization management, quality management, risk management, human resources, and payroll.
• Providing expert support in maintaining the physician master schedules and manage all changes as required, handling patient/provider correspondence as advised.
• Managing referrals and authorizations for various insurance types, ensuring that all patient interactions align with healthcare regulatory standards and Cedars-Sinai Medical Center's protocols.
• Assisting in tracking, monitoring, and updating department-specific data as part of lean management processes.
• Assisting with training and mentoring Patient Service Representatives, ensuring they are equipped to perform their duties effectively.
• Actively participating in departmental huddles and staff meetings, delivering presentations to improve positive and effective teamwork.
• Conducting patient care flow management and providing assistance in supervising CS-Link message pools.
• Using detailed knowledge of the CS-Link/Epic Healthcare system to work independently and with minimal direction.
• Explaining complex policies, procedures, or services to patients using administrative knowledge.
• Carrying out lobby PSR role in all outpatient MDN departments. This requires learning and understanding of various EPIC functionalities, knowledge and skilled specific to the covering clinic. Adapts to the workflows and procedures of different practices.
• Assisting with special projects or additional tasks as required by the practice manager or healthcare providers.

Qualifications:

Education: High school diploma/GED preferred

Experience: Three (3) years of Patient Service Representative or Medical Assistant experience in an outpatient medical office setting required.

About Us:

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.

About the Team:

With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai's medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.

Req ID: 12255

Working Title: Senior Patient Service Rep, PACT - Operations Float Pool

Department: Ops - Float Pool

Business Entity: Cedars-Sinai Medical Care Foundation

Job Category: Administrative

Job Specialty: Admissions/Registration

Overtime Status: NONEXEMPT

Primary Shift: Day

Shift Duration: 8 hour

Base Pay: $24.65 - $38.21

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.