Patient Service Representative jobs at Children's Hospital Los Angeles

NATIONAL LEADERS IN PEDIATRIC CARE Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children. The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation. Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding. It's Work That Matters. Overview Schedule: Day Shift Purpose Statement/Position Summary: The Patient Services Representative II provides patient-families with a positive experience at CHLA by performing clerical tasks primarily associated with answering incoming calls, registration, and patient check-in/out procedures, collection of patient co-pay or deductibles, scheduling and verifying patient appointments. Completes financial clearance and authorization duties, serves as the administrative support for assigned providers. Works closely with assigned providers to ensure follow up care is completed. Assists with creation and review of divisional performance reports and metrics. Minimum Qualifications/Work Experience: 1+ years of experience in customer service, preferably in a medical front office setting. Basic knowledge of computers, filing and organizational skills required. Ability to deal effectively with the public. Bilingual English/Spanish preferred. 3+ years in medical office setting preferred. Education/Licensure/Certifications: High school diploma or GED required. Pay Scale Information $43,680.00-$65,062.00 CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures. Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career! CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932. At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance. Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process. Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA. Department of Mental Health

Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Start Date: Monday, February 23, 2026 MGB Health Plan is expanding and hiring multiple Customer Service Reps for February 2026 Benefits start Day 1 Job Summary The Opportunity The Customer Service Professional (CSP) acts as the primary point of contact for our members, providers and other key stakeholders focusing on exceptional customer satisfaction and first call resolution. The CSP's interact with customers to provide information and troubleshoot complex issues in response to inquiries about coverage, benefits, services, and to handle and resolve complaints. The Customer Service Rep in this role must be committed to building customer confidence and increasing customer satisfaction by delivering to callers an exceptional experience focused on quality and accuracy. The CSP's will be initially trained on member demographic changes and benefit inquires. Additional member claims training will be delivered ±60 days after CSP has completed benefits and eligibility training After successfully demonstrating core competencies by meeting or exceeding key performance measurements, the individual will be trained to handle Provider claims inquiries as business needs dictate. Qualifications The CSP is Responsible For * Serves as the primary liaison for members and providers for all lines of business including MassHealth, and Commercial members regarding general program inquires such as eligibility verifications, authorizations, referrals, claims, material fulfillment, address changes and Primary Care Physician assignments as well as member related policy and procedures. * The CSP must be able to handle and demonstrate skills in handling benefits, claims and eligibility calls for the member and provider population. * Identify customer issues/concerns rapidly and precisely * Research required information using available resources and triage when necessary * Handles and resolve customer inquiries and complaints, exhausting all efforts within the CSP's scope before requesting assistance * Identify and escalate priority issues in order to create efficiencies * Initiates follow up customer calls where necessary * Complete call logs to record customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken * Refer customer grievances and appeals to designated departments for further investigation * Responsible for navigating multiple systems in order to resolve customer issues * Acts as the primary representative for Mass General Brigham Health Plan for our customers focusing on first call resolution and customer engagement. * - Anticipates and meets, or exceeds, internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect. Qualifications and Skills for Success * High School Diploma or Equivalent required * Associate's Degree in related field or Healthcare Management preferred * Exceptional Customer Service skills, both verbal and written communication must be concise, clear, compliant, personable and professional * Ability to multi task and prioritize * Call Center experience a plus * Maintain Customer Service Behavior Competencies * Flexibility/Adaptability/Willingness/Team Player/ Positive Attitude * Relationship Building/Caring * Service Excellence/Accountability/Critical Thinking Additional Job Details (if applicable) Working Model Required Monday - Friday EST hours: * First one full Month Training Schedule: M-F 8:30 AM - 5:00 PM EST * Post Training Schedule: 9:00 AM - 5:30 PM (Mon, Tue, Wed, and Fri) with 11:30 AM - 8:00 PM (Thurs) (EST) or 9:30 AM - 6:00 PM (Monday-Friday) EST This is a remote position; a quiet, secure, stable, and compliant work station is required from within the US, with MGB provided equipment and Video required during the work week Start Date required: Monday, February 23, 2026 Remote Type Remote Work Location 399 Revolution Drive Pay Range $19.42 - $27.74/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Start Date: Monday, February 23, 2026 MGB Health Plan is expanding and hiring multiple Customer Service Reps for February 2026 Benefits start Day 1 Job Summary The Opportunity The Customer Service Professional (CSP) acts as the primary point of contact for our members, providers and other key stakeholders focusing on exceptional customer satisfaction and first call resolution. The CSP's interact with customers to provide information and troubleshoot complex issues in response to inquiries about coverage, benefits, services, and to handle and resolve complaints. The Customer Service Rep in this role must be committed to building customer confidence and increasing customer satisfaction by delivering to callers an exceptional experience focused on quality and accuracy. The CSP's will be initially trained on member demographic changes and benefit inquires. Additional member claims training will be delivered ±60 days after CSP has completed benefits and eligibility training After successfully demonstrating core competencies by meeting or exceeding key performance measurements, the individual will be trained to handle Provider claims inquiries as business needs dictate. Qualifications The CSP is Responsible For Serves as the primary liaison for members and providers for all lines of business including MassHealth, and Commercial members regarding general program inquires such as eligibility verifications, authorizations, referrals, claims, material fulfillment, address changes and Primary Care Physician assignments as well as member related policy and procedures. The CSP must be able to handle and demonstrate skills in handling benefits, claims and eligibility calls for the member and provider population. Identify customer issues/concerns rapidly and precisely Research required information using available resources and triage when necessary Handles and resolve customer inquiries and complaints, exhausting all efforts within the CSP's scope before requesting assistance Identify and escalate priority issues in order to create efficiencies Initiates follow up customer calls where necessary Complete call logs to record customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken Refer customer grievances and appeals to designated departments for further investigation Responsible for navigating multiple systems in order to resolve customer issues Acts as the primary representative for Mass General Brigham Health Plan for our customers focusing on first call resolution and customer engagement. - Anticipates and meets, or exceeds, internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect. Qualifications and Skills for Success High School Diploma or Equivalent required Associate's Degree in related field or Healthcare Management preferred Exceptional Customer Service skills, both verbal and written communication must be concise, clear, compliant, personable and professional Ability to multi task and prioritize Call Center experience a plus Maintain Customer Service Behavior Competencies Flexibility/Adaptability/Willingness/Team Player/ Positive Attitude Relationship Building/Caring Service Excellence/Accountability/Critical Thinking Additional Job Details (if applicable) Working Model Required Monday - Friday EST hours: First one full Month Training Schedule: M-F 8:30 AM - 5:00 PM EST Post Training Schedule: 9:00 AM - 5:30 PM (Mon, Tue, Wed, and Fri) with 11:30 AM - 8:00 PM (Thurs) (EST) or 9:30 AM - 6:00 PM (Monday-Friday) EST This is a remote position; a quiet, secure, stable, and compliant work station is required from within the US, with MGB provided equipment and Video required during the work week Start Date required: Monday, February 23, 2026 Remote Type Remote Work Location 399 Revolution Drive Pay Range $19.42 - $27.74/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Patient Service Coordinator (PSC) serves as a key member of the team that provides superior care and exceptional service to its patients. One critical dimension of this service focuses on patient check-in process and improving the human experience upon our patients' arrival to our practice and throughout the duration of their visit. The Home Base PSC will play an important role in redefining and reinvigorating the patient welcome and check-in experience. The PSC will be the crucial "face and attitude" of this patient-centered practice. While also providing medical scheduling services, the PSC will have the unique opportunity to work within a supportive team setting enabled by systems and technologies that will allow the employee to provide patient care and services at their highest levels. In addition, the PSC will be responsible to assist in special projects when skillset and capacity allow, as deemed appropriate by the Practice Manager. Job Summary Summary Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department. Does this position require Patient Care? No Essential Functions * Perform routine administrative and clerical duties relating to a clinical service or physician practice office. * Make patient appointments and maintain appointment records. * Greet and assist patients. * Answer telephones, assist callers with routine inquiries, and schedule appointments. * File materials in patient folders and print appointment schedules. * Process patient billing forms and scan documents to patient medical record/LMR. * Call for patient medical records and laboratory test results. * Open and distribute unit mail or faxes. * Type forms, records, schedules, memos, etc., as directed. * Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results. * Acts as "Super User" for scheduling, registration and billing systems. * Provides assistance and training to others in these areas. * May perform more complex or specialized functions (i.e. schedule changes/blocking) at more advanced competency level. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Medical Administrative Assistant [CMAA] - Data Conversion - Various Issuers preferred Experience office experience 2-3 years required Knowledge, Skills and Abilities * Proficiency with all Office Suite, * Knowledge of office operations and standards and understanding of office procedures including filing, copying, scanning, printing and faxing. * Ability to use phone system and manage more non-routine phone calls and solve routine issues as appropriate. * Communicating effectively in writing as appropriate for the needs of the audience and talking to others to convey information effectively. * Understanding written sentences and paragraphs in work related documents, to correspond and communicate with others clearly and effectively (including composing/editing e-mail, memos and letters), and to take complete and accurate messages. * Managing one's own time and the time of others. * Well organized and good time management skills to manage multiple tasks effectively, follow established protocols, and work within systems. Additional Job Details (if applicable) Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.45/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Patient Service Coordinator (PSC) serves as a key member of the team that provides superior care and exceptional service to its patients. One critical dimension of this service focuses on patient check-in process and improving the human experience upon our patients' arrival to our practice and throughout the duration of their visit. The Home Base PSC will play an important role in redefining and reinvigorating the patient welcome and check-in experience. The PSC will be the crucial “face and attitude” of this patient-centered practice. While also providing medical scheduling services, the PSC will have the unique opportunity to work within a supportive team setting enabled by systems and technologies that will allow the employee to provide patient care and services at their highest levels. In addition, the PSC will be responsible to assist in special projects when skillset and capacity allow, as deemed appropriate by the Practice Manager. Job Summary Summary Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department. Does this position require Patient Care? No Essential Functions -Perform routine administrative and clerical duties relating to a clinical service or physician practice office. -Make patient appointments and maintain appointment records. -Greet and assist patients. -Answer telephones, assist callers with routine inquiries, and schedule appointments. -File materials in patient folders and print appointment schedules. -Process patient billing forms and scan documents to patient medical record/LMR. -Call for patient medical records and laboratory test results. -Open and distribute unit mail or faxes. -Type forms, records, schedules, memos, etc., as directed. -Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results. -Acts as "Super User" for scheduling, registration and billing systems. -Provides assistance and training to others in these areas. -May perform more complex or specialized functions (i.e. schedule changes/blocking) at more advanced competency level. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Medical Administrative Assistant [CMAA] - Data Conversion - Various Issuers preferred Experience office experience 2-3 years required Knowledge, Skills and Abilities - Proficiency with all Office Suite, -Knowledge of office operations and standards and understanding of office procedures including filing, copying, scanning, printing and faxing. - Ability to use phone system and manage more non-routine phone calls and solve routine issues as appropriate. - Communicating effectively in writing as appropriate for the needs of the audience and talking to others to convey information effectively. - Understanding written sentences and paragraphs in work related documents, to correspond and communicate with others clearly and effectively (including composing/editing e-mail, memos and letters), and to take complete and accurate messages. - Managing one's own time and the time of others. - Well organized and good time management skills to manage multiple tasks effectively, follow established protocols, and work within systems. Additional Job Details (if applicable) Physical Requirements Standing Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.45/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Hours: 8a-4:30p, remote (must live within 50 miles of our main campus) JOB RESPONSIBILITIES Productivity - Work independently and/or collaboratively with team to efficiently handle work volume and queues to meet or exceed productivity standards. Accurately collect/verify insurance information and demographics, obtaining insurance authorization and entering the information into the required systems. Collaboration - Serve as a liaison between Hospital/Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patient Financial Services, Utilization Review and other Cincinnati Children's departments. Multiple division support; cross trained in order to work insurance pre-authorization for multiple divisions. Pre-Authorization - Utilize systems including medical records to obtain needed clinical support to efficiently confirm receipt of or to obtain pre-authorization for scheduled services and medications. Collaborate with internal and external resources regarding specific authorizations scenarios. Work with team to make contact with families prior to patient scheduled visits and/or services to confirm insurance eligibility, referrals/authorizations with minimal stress to the family/patient. Problem Resolution - Initiate calls to appropriate parties both internal and external to resolve issues. Escalate to appropriate staff regarding system errors, recurring divisional problems/errors identified within work queues or reports. JOB QUALIFICIATIONS High school diploma or equivalent Experience with insurances, authorizations, and or healthcare registration preferred Primary Location Remote Schedule Full time Shift Day (United States of America) Department Utilization Review Employee Status Regular FTE 1 Weekly Hours 40 *Expected Starting Pay Range *Annualized pay may vary based on FTE status $18.16 - $22.25 About Us At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's. Cincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025) One of the nation's America's Most Innovative Companies as noted by Fortune Consistently certified as great place to work A Leading Disability Employer as noted by the National Organization on Disability Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us. Comprehensive job description provided upon request. Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability

**NATIONAL LEADERS IN PEDIATRIC CARE** Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children. The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation. Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding. **It's Work That Matters.** **Overview** **Shift:** Day shift. 8:00am-4:30pm **Purpose Statement/Position Summary:** The Patient Services Rep III provides patient-families with a positive experience at CHLA by performing clerical tasks primarily associated with answering incoming calls, registration, and patient check-in/out procedures, collection of patient co-pay or deductibles, scheduling and verifying patient appointments. Completes financial clearance and authorization duties, serves as the administrative support for assigned providers. Works closely with assigned providers to ensure follow up care is completed. Assists with creation and review of divisional performance reports and metrics. **Minimum Qualifications/Work Experience:** Required: One year experience in customer service, preferably in a medical front office setting. Basic knowledge of computers, filing and organizational skills required. Ability to deal effectively with the public. Preferred: Bilingual English/Spanish. 3+ years in medical office setting. Knowledge in health insurance. **Education/Licensure/Certification:** High school diploma or GED required. **Pay Scale Information** $49,213.00-$80,850.00 CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures. Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career! CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932. At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance. Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process. Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA. Otolaryngology

**NATIONAL LEADERS IN PEDIATRIC CARE** Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children. The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation. Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding. **It's Work That Matters.** **Overview** **Schedule:** Day Shift **Purpose Statement/Position Summary:** The Patient Services Representative II provides patient-families with a positive experience at CHLA by performing clerical tasks primarily associated with answering incoming calls, registration, and patient check-in/out procedures, collection of patient co-pay or deductibles, scheduling and verifying patient appointments. Completes financial clearance and authorization duties, serves as the administrative support for assigned providers. Works closely with assigned providers to ensure follow up care is completed. Assists with creation and review of divisional performance reports and metrics. **Minimum Qualifications/Work Experience:** 1+ years of experience in customer service, preferably in a medical front office setting. Basic knowledge of computers, filing and organizational skills required. Ability to deal effectively with the public. Bilingual English/Spanish preferred. 3+ years in medical office setting preferred. **Education/Licensure/Certifications:** High school diploma or GED required. **Pay Scale Information** $43,680.00-$65,062.00 CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures. Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career! CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932. At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance. Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process. Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA. Department of Mental Health

NATIONAL LEADERS IN PEDIATRIC CARE Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children. The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation. Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding. It's Work That Matters. Overview Schedule: Day Shift Purpose Statement/Position Summary: The Patient Services Rep I provides patient-families with a positive experience at CHLA by performing clerical tasks primarily associated with answering incoming calls, registration, and patient check-in/out procedures, collection of patient co-pay or deductibles, scheduling and verifying patient appointments. Minimum Qualifications/Work Experience: One year experience in medical front office setting. Knowledge, Skills and Abilities Required: Bilingual English/Spanish is preferred. Excellent telephone manner and ability to deal effectively with the public. Basic knowledge of computers, filing and organizational skills. Education/Licensure/Certifications: High school diploma or GED required Pay Scale Information $43,680.00-$53,581.00 CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures. Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career! CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932. At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance. Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process. Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA. Allergy/Immunology

Under general supervision, the Patient Access Representative secures and provides appropriate medical business information to and from patient families/guardians and funding sources. In your role you will interpret, identify, communicate and detail information by way of: registration, scheduling and/or acquiring authorizations for patient services in a dynamic team environment. You will have the opportunity to make a difference every day by the duties you perform. SKILLS REQUIRED: * Listens well and devotes full attention to patients and medical professionals alike * Detailed and empathetic as the job involves dealing with people who are critically ill or injured * The ability to remain calm, even under the most stressful of situations * Communicates well, both orally and in writing * The ability to maintain confidentiality * Possesses a basic understanding of medical terminology and procedures * Resourcefulness MINIMUM QUALIFICATIONS: High School Diploma, G.E.D. or Equivalent PREFERRED QUALIFICATIONS: Associate's Degree 1 year of Healthcare Experience Experience with Epic or other EMR systems Experience with payment collection efforts Bilingual English/Spanish and/or other languages that meet business needs of the department The current salary range for this position is $22.00 to $30.27 Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

Under general supervision, the Patient Access Representative is responsible for securing and providing appropriate medical and/or behavioral business information to/from patient families and funding sources. Interprets, identifies, communicates, and documents this information by way of: registration and scheduling for patient services, in a team environment. Performs other duties as assigned. MINIMUM QUALIFICATIONS: H.S. Diploma,GED,or Equivalent PREFERRED QUALIFICATIONS: Associate's Degree 1 Year of Experience 1 Year of Healthcare Experience Experience with Epic or Other EMR systems Experience with payment collection efforts Bilingual English/Spanish and/or other languages that meet business needs of the department **The current salary range for this position is $22.00 to $30.27** Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled. EOE including disability/vet

Under general supervision, the Patient Access Representative is responsible for securing and providing appropriate medical and/or behavioral business information to/from patient families and funding sources. Interprets, identifies, communicates, and documents this information by way of: registration and scheduling for patient services, in a team environment. Performs other duties as assigned. MINIMUM QUALIFICATIONS: H.S. Diploma,GED,or Equivalent PREFERRED QUALIFICATIONS: Associate's Degree 1 Year of Experience 1 Year of Healthcare Experience Experience with Epic or Other EMR systems Experience with payment collection efforts Bilingual English/Spanish and/or other languages that meet business needs of the department The current salary range for this position is $22.00 to $30.27 Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

Job Description CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our Global Network and be a CHA Global Ambassador CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries. Our New Facility is seeking for Top Talents The best women's hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and caring team right in the heart of Hollywood. Position Summary: To call insurance companies, payers, and/or patients for payment on unpaid claims. To ensure the maximum collection effects by organizing, and prioritizing daily workloads, providing required documentation and minimizing external delay. Minimum Education: High School Diploma. Preferred Education: N/A Minimum Work Experience and Qualifications: Three (3) years of collection experience in a hospital setting or five (5) years of relevant hospital experience. Medical terminology, knowledge of payer requirements and programs which the patient may be eligible. Excellent communication skills. Ability to communicate effectively verbally and in writing. Must be able to work in a union environment. Preferred Work Experience and Qualifications: N/A Required Licensure, Certification, Registration or Designation: Current Los Angeles County Fire Card required (within 30 days of employment). Shift: Days Hours: 8 Shift Hours: 8:00am - 4:30pm Weekly Hours: 40 Type: Full-Time FTE: 1.0

Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances from all payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims. This position is responsible checking status of unpaid claims by telephone, websites and/or any other means available in an efficient and timely manner. BCII is expected to provide all necessary documentation required from payors to ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation (MPF) has with each Payor. This incumbent is expected to accurately analyze each denial received by reviewing the patient acct, the remittance codes from Explanation of Benefits (EOB) and Remittance Advice (RA). As well, they are to review CCI or payor specific coding edits and take necessary steps to send a corrected claim or appeal to payor for reprocessing of claim to overturn denial. They are to report all problematic payor trends to leadership with specific examples. If BCII has exhausted all efforts with payor to resolve a denial following our guidelines, they will forward claim on to leadership for further review and or appropriate resolution of claim. Incumbent is responsible for daily processing of assigned work queues following standards established by Leadership. Selection of activities and documentation on each account in the patient financial record will be completed in accordance with guidelines. BCII will review payor/clearing house rejections and making necessary corrections to ensure claim will be adjudicated. Incumbent is expected to follow federal, state, and local regulatory collection guidelines as well as department and payor specific billing guidelines. Skills Required: * Strong verbal and written communicator * Problem-solver * Master negotiator * Emotional Intelligence * Attention to detail MINIMUM QUALIFICATIONS: H.S. Diploma,GED,or Equivalent 2 Years of Experience Must possess some medical billing experience. A certificate of completion from a medical billing course can be substituted for 1 year of experience PREFERRED QUALIFICATIONS: 3 Years of Experience EPIC experience a plus The current salary range for this position is $23.10 to $31.77 Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

which is subject to renewal by 03/31/2026** Under the direction of the Manager, Professional Billing & Coding, the Billing & Collections Rep I is responsible to review and process charges via our EMR system. They are responsible to process the paper charge tickets that are received for services provided at non-RCHSD locations. Using applicable reports, the incumbent ensures that all expected charges are received and entered from providers. This position verifies authorization when necessary for patient visits and procedures, ensuring it is correctly reflected on submission of the claim. They register new patients in the system, including patient demographics, verifying insurance, eligibility and claim information is accurate. Incumbent will verify appropriate use of Current Procedural Terminology (CPT) and International Classification of Diseases, 10th Revision (ICD-10) codes and modifiers for all charge sessions/encounters utilizing Rady specific warnings and CCI edits flagging the charges routing to the billing system. They are expected to make updates and or corrections as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor processing, They are to correct all errors or warning flags to ensure clean claim submission. This position is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to validate and accurately complete the claims identified with potential new payor plan coverage added to the patient's account. Assists with other related duties as assigned. SKILLS REQUIRED: - Excellent verbal communication and active listening. Effective verbal communication is one of the most valuable skills in this role! - Emotional intelligence - Ability to solve problems - Attention to detail - Technically savvy MINIMUM QUALIFICATIONS: H.S. Diploma,GED,or Equivalent 1 Year of Experience Medical billing experience A certificate of completion from a medical billing course can be substituted for 1 year of experience PREFERRED QUALIFICATIONS: 3 Years of Experience EPIC experience a plus **The current salary range for this position is $21.00 to $28.88** Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled. EOE including disability/vet

which is subject to renewal by 03/31/2026 Under the direction of the Manager, Professional Billing & Coding, the Billing & Collections Rep I is responsible to review and process charges via our EMR system. They are responsible to process the paper charge tickets that are received for services provided at non-RCHSD locations. Using applicable reports, the incumbent ensures that all expected charges are received and entered from providers. This position verifies authorization when necessary for patient visits and procedures, ensuring it is correctly reflected on submission of the claim. They register new patients in the system, including patient demographics, verifying insurance, eligibility and claim information is accurate. Incumbent will verify appropriate use of Current Procedural Terminology (CPT) and International Classification of Diseases, 10th Revision (ICD-10) codes and modifiers for all charge sessions/encounters utilizing Rady specific warnings and CCI edits flagging the charges routing to the billing system. They are expected to make updates and or corrections as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor processing, They are to correct all errors or warning flags to ensure clean claim submission. This position is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to validate and accurately complete the claims identified with potential new payor plan coverage added to the patient's account. Assists with other related duties as assigned. SKILLS REQUIRED: * Excellent verbal communication and active listening. Effective verbal communication is one of the most valuable skills in this role! * Emotional intelligence * Ability to solve problems * Attention to detail * Technically savvy MINIMUM QUALIFICATIONS: H.S. Diploma,GED,or Equivalent 1 Year of Experience Medical billing experience A certificate of completion from a medical billing course can be substituted for 1 year of experience PREFERRED QUALIFICATIONS: 3 Years of Experience EPIC experience a plus The current salary range for this position is $21.00 to $28.88 Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

NATIONAL LEADERS IN PEDIATRIC CARE Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children. The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation. Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding. It's Work That Matters. Overview Schedule: 11pm - 7:30am, Monday-Friday with alternating weekends Purpose Statement/Position Summary: The team is responsible for the accurate and timely completion of patient admissions including: demographic data, insurance verification and authorization, and the entry of this data into the system. Creates patients financial file, obtains required signatures, and gives the patient/parent hospital information. Interfaces with patients, Third-Party payors, and review organizations to ensure the eligibility and authorization for hospital services. Identifies alternative financial sources for services, if necessary. Facilitates the processing of Medi-Cal/CCS applications. Meets with parent to explain benefits, restrictions, or to make financial arrangements. The Admitting Representative II is responsible for the accurate and timely completion of patient admissions. Creates patient's financial file, obtains required signatures, and gives the patient/parent hospital information. Interfaces with patients, third-party vendors, and review organizations to ensure the eligibility and authorization for hospital services. Identifies alternative financial sources for services, if necessary. Facilitates the processing of Medi-Cal/CCS applications. Meets with parents to explain the benefits, and restrictions, or to make financial arrangements. Minimum Qualifications/Work Experience: 2+ years previous registration experience preferred, 6 months insurance verification experience, preferred. A minimal baseline of insurance terminology is a plus. Applicant must be able to multi task and complete required tasks timely and completely. Applicant must be a team player and be able to accept and apply feedback. Education/Licensure/Certification: High school diploma, GED or equivalent. Pay Scale Information $43,680.00-$61,953.00 CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures. Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career! CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932. At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance. Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process. Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA. Patient Access Services Registration

**NATIONAL LEADERS IN PEDIATRIC CARE** Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children. The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation. Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding. **It's Work That Matters.** **Overview** **Schedule:** 11pm - 7:30am, Monday-Friday with alternating weekends **Purpose Statement/Position Summary:** The team is responsible for the accurate and timely completion of patient admissions including: demographic data, insurance verification and authorization, and the entry of this data into the system. Creates patients financial file, obtains required signatures, and gives the patient/parent hospital information. Interfaces with patients, Third-Party payors, and review organizations to ensure the eligibility and authorization for hospital services. Identifies alternative financial sources for services, if necessary. Facilitates the processing of Medi-Cal/CCS applications. Meets with parent to explain benefits, restrictions, or to make financial arrangements. The Admitting Representative II is responsible for the accurate and timely completion of patient admissions. Creates patient's financial file, obtains required signatures, and gives the patient/parent hospital information. Interfaces with patients, third-party vendors, and review organizations to ensure the eligibility and authorization for hospital services. Identifies alternative financial sources for services, if necessary. Facilitates the processing of Medi-Cal/CCS applications. Meets with parents to explain the benefits, and restrictions, or to make financial arrangements. **Minimum Qualifications/Work Experience:** 2+ years previous registration experience preferred, 6 months insurance verification experience, preferred. A minimal baseline of insurance terminology is a plus. Applicant must be able to multi task and complete required tasks timely and completely. Applicant must be a team player and be able to accept and apply feedback. **Education/Licensure/Certification:** High school diploma, GED or equivalent. **Pay Scale Information** $43,680.00-$61,953.00 CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures. Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career! CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932. At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance. Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process. Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA. Patient Access Services Registration

CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our Global Network and be a CHA Global Ambassador CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries. Our New Facility is seeking for Top Talents The best women's hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and caring team right in the heart of Hollywood. Position Summary: The Medical Staff Coordinator is responsible for assigned medical staff departments, sections and committee functions to ensure compliance with Medical Staff Bylaws, Rules & Regulations, policies and procedures, State and Federal requirements and accreditation standards. Interfaces with QM Coordinators, other hospital staff, and physicians, and allied health professionals to provide and interpret relevant data on medical staff members for input into committee agendas, minutes and meeting follow-up, as well as the processing of credentialing and privileging items. Under the Guides guidance of the Director of Medical Staff Services, assists the medical staff chairmen/committee members' leaders through department and committee activities and generates related documentation relating to the committee process. Processes, coordinates, and maintains all aspects of credentialing activities in accordance with the Medical Staff Bylaws and required time frames, including initial applications, reappointments, allied health professionals, locum tenen, proctoring actions, and temporary privileges, and other credentialing and privileging items as needed. Also maintains the appropriate Medical Staff databases. * Enhances professional growth and development through participation in educational programs, staff meetings, in-services/workshops and successful completion and maintenance of required certifications of specialty areas. * Facilitates assigned medical staff standing, ad-hoc and special committee meetings. * Consults with respective medical staff leaders and hospital staff to achieve action oriented outcomes assuring that problems identified are either acted upon or appropriately referred. * Demonstrates excellent communication and negotiation skills in preparation of agendas, participation in meetings, and follow-up actions. * Records discussion, recommendations and conclusions succinctly and accurately to substantiate actions taken. * Maintains and protects the confidential records of all protected medical staff proceedings as required by law (i.e. California Business Evidence Code Section 1157) and in accordance with medical staff bylaws, rules and regulations and policies and procedures. * Interfaces effectively with the quality management coordinators and other hospital personnel, as applicable, to integrate peer review findings and follow-up into the medical staff agendas, minutes and any written necessary follow-up. * Cooperates with other hospital personnel in a positive manner to achieve departmental and interdepartmental objectives and maintains good employee relations. * Ensures the credentialing of applicants for membership and reappointment, as well as the processing of proctoring activities, are coordinated accurately and timely in compliance with defined schedules. * Collects and analyzes information thoroughly to identify potential quality of care issues, behavioral problems, appropriate education and training. * Immediately brings any concerns (credentialing, privileging, proctoring, peer review or miscellaneous in nature) identified to the attention of the Director of Medical Staff Services, or his/her designee, and assists with the investigation of such concerns as directed. * Maintains medical staff meeting rosters and distributes meeting notices and calendars as assigned. * Demonstrates effective communication methods and skills and utilizes lines of authority appropriately. * Presents a professional image in attire worn and communication that corresponds with the department's primary customers (i.e., physicians, hospital senior leaders, etc.). * Reports to work on time and as scheduled, completes work within designated time. * Uses computerized time clock correctly. * Attends staff meetings and actively participates, reads and returns all staff meeting minutes. * Actively participates in performance improvement and continuous quality improvement (CQl) activities. * Demonstrates an understanding of the procedures for reporting and responding to facility emergencies such as fire, and disruption in utilities and hazardous materials spills. * Demonstrates knowledge of equipment capabilities, limitations, and appropriate/special applications. * Demonstrates the ability to access and use computer systems and office equipment. * Communicates with physicians, administrative staff, co-workers, and patients/families in a respectful and caring manner. * Demonstrates a positive professional image; performs responsibilities in a professional manner; demonstrates flexibility; utilizes a collaborative approach with co-workers and other hospital personnel. * Demonstrates flexibility in the work setting with changing assignments, and varying staffing levels and completes work on time. * Consistently demonstrates critical thinking and problem solving skills. * Assists department management in the resolution and evaluation of problem situations. * Assumes other duties as required. Behaviors * Adheres to dress code, appearance is neat and clean. * Completes education requirements in a timely manner. * Maintains regulatory requirements, including all federal, state, local regulations and accrediting organization standards. * Wears identification while on duty and ensures it is visible at all times * Maintains patient confidentiality at all times. * Can state the mission, vision and values of the facility * Complies with the Medical Center's policies and procedures, including timekeeping, attendance, the Standards of Behavior and the Code of Conduct. * Maintains required applicable licensure, certification, educational and in-service requirements. * Displays positive attitude through words and actions. * Displays willingness to adapt to new ideas and contributes to effective progress. * Demonstrates awareness of who the customers (internal and external) and supports the company's goals and objectives in a positive manner. Minimum Education: * High School Diploma or equivalent. Preferred Education: * Bachelor's Degree preferred. Minimum Work Experience and Qualifications: * Ability to communicate effectively verbally and in writing. * Must be able to work in a union environment. * Working computer knowledge including proficiency on word processing programs and medical staff database. Preferred Work Experience and Qualifications: * Proven experience and proficiency in health care education and medical staff services preferred. Required Licensure, Certification, Registration or Designation: * Current Los Angeles County Fire Card required (within 30 days of employment). Shift: Day Hours: 8:00am - 4:30pm Shift Hours: 8 Hours Weekly Hours: 40 Type: Full-Time FTE: 1.0