PATIENT ACCESS REPRESENTATIVE 1
4 weeks ago
Job Title : Patient Access Representative 1 - Hospital Job Summary :
- The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of cash. the PAR1 ensures the patient's experience is best in class and demonstrates effective communication skills with patients and families, physicians, nurses, and insurance companies. The PAR1 is knowledgeable of and compliant with federal and state regulations related to acute-care patient registration.
Experience, Education, Training, Special Skills, and Licensure :
1 year relevant experience (registration, patient scheduling, customer service, billing, coding, finance, or accounting) in the healthcare industry.
Related certification (Certified Coder, Certified Medical Assistant, or Certified Healthcare Access Associate) or Bachelor's Degree substitutes for 1 year of experience.
High School diploma or equivalent.
Advanced clerical and computer skills, critical thinking skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork.
Job Function :
- Registration
- Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner.
- Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system.
- Uses critical thinking skills to evaluate each registration situation to ensure customized registration experience based on individual patient circumstances. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker's compensation regulations, victims of sexually-oriented criminal offenses regulation, 2 midnight rules, ABN's, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration
- Ensures each patient is assigned only one medical record number.
- Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as Hospital consent forms, assignment of benefits, patient rights, etc.
- Extensively documents each encounter in account notes to ensure successful cross-function communication.
- Ensures orders are received and are consistent with tests/procedures.
- Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information, to ensure timely and accurate patient registration.
- Insurance and Benefits Knowledge
- Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage and prior authorization
- Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered.
- Selects correct insurance plans in the registration software, in the correct order (primary versus secondary).
- Has understanding of required forms (including Medicare Secondary Payer Questionnaire) and has ability to explain them to the patient.
- Utilizes payment estimator software to calculate patient financial responsibility. Uses critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output.
- Determines when patients may be eligible for financial assistance and directs patients to appropriate resources.
- Financial Collections
- Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure.
- Understands and explains the details of the out-of-pocket calculation.
- Analyzes documentation/notes on current and previous accounts in order to explain balances to the patient.
- Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate.
- Collects cash, prints receipts, and balances cash drawers.
- Other Duties as Assigned
- Performs all other duties as assigned.
-
Patient Access Representative 1
2 months ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob DescriptionJob Title : Patient Access Representative 1 - Hospital Job Summary : The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient...
-
Patient Access Representative 1 Colorectal Surgery
2 months ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob Description Job Title : Patient Access Representative 1 - Clinic Job Summary : Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Experience, Education, Training, Special...
-
Patient Access Representative 1
5 days ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob Description Job Title : Patient Access Representative 1 - Clinic Job Summary : Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Experience, Education, Training, Special...
-
Patient Access Representative 2
2 weeks ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeThe Patient Access Representative 2 (PAR 2) facilitates a welcome and easy access to the facility and is responsible for establishing an encounter for any patient who meets the guidelines for hospital service. The PAR 2 ensures that all data entry is accurate, including demographic and financial information for each account. The PAR 2 has numerous procedural...
-
Patient Access Representative 1
2 months ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob Description Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Qualifications Experience, Education, Training, Special Skills, and Licensure: 6 months experience in a...
-
Patient Access Representative 1
5 days ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob Description Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Qualifications Experience, Education, Training, Special Skills, and Licensure: 6 months experience in a...
-
Patient Access Representative 2
3 weeks ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeResponsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Serves as subject matter expe Clinic, Patient Access, Pediatric, Representative, Development, Patient, Healthcare
-
Patient Access Representative 2
1 week ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob Description Job Title : Patient Access Representative 2 - PBC Job Summary : Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Serves as subject matter expert in processes and...
-
Sr Director Patient Access
1 month ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob DescriptionUnder the supervision of the VP of Revenue Cycle, the Patient Access Sr. Director is responsible for the overall management, organization, and productivity of department operations, including admissions, pre-admissions, and financial counseling activities at Our Lady of the Lake Hospital and Our Lady of the Lake offsite locations (including...
-
Sr Director Patient Access
4 days ago
Baton Rouge, United States Franciscan Missionaries of Our Lady Health System Full timeJob DescriptionUnder the supervision of the VP of Revenue Cycle, the Patient Access Sr. Director is responsible for the overall management, organization, and productivity of department operations, including admissions, pre-admissions, and financial counseling activities at Our Lady of the Lake Hospital and Our Lady of the Lake offsite locations (including...
-
Patient Services Representative
2 weeks ago
Baton Rouge, United States Cardiovascular Institute of the South Full timeNature of Duties:Performs a variety of medical office duties ranging from patient check-in/out, appointment scheduling, managing medical records, handling payments, and correspondence.Qualifications:1. High school diploma2.Knowledge of patient scheduling techniques/insurance & billing preferred.3. Good communication and customer service skills.4. Ability to...
-
Patient Services Representative
3 weeks ago
Baton Rouge, United States Cardiovascular Institute of the South Full timeNature of Duties: Performs a variety of medical office duties ranging from patient check-in/out, appointment scheduling, managing medical records, handling payments, and correspondence. Qualifications: 1. High school diploma 2.Knowledge of patient scheduling techniques/insurance & billing preferred. 3. Good communication and customer service skills. 4....
-
Patient Services Representative
5 days ago
Baton Rouge, United States Cardiovascular Institute of the South Full timeNature of Duties: Performs a variety of medical office duties ranging from patient check-in/out, appointment scheduling, managing medical records, handling payments, and correspondence. Qualifications: 1. High school diploma 2.Knowledge of patient scheduling techniques/insurance & billing preferred. 3. Good communication and customer service skills. 4....
-
Medical Customer Service Representative
2 weeks ago
Baton Rouge, United States Patient Plus Urgent Care Full timeAnswer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding services provided at the offices. Perform administrative duties using specific knowledge of medical terminology and practice, Customer Service Representative, Medical, Customer Service, Representative, Retail, Healthcare
-
Medical Customer Service Representative
2 weeks ago
Baton Rouge, United States Patient Plus Urgent Care Full timeJob DescriptionJob DescriptionDescription:Answer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding services provided at the offices. Perform administrative duties using specific knowledge of medical terminology and practice, clinic, or laboratory procedures. Schedule and register patients for...
-
Medical Customer Service Representative
6 days ago
Baton Rouge, United States Patient Plus Urgent Care Full timeAnswer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding services provided at the offices. Perform administrative duties using specific knowledge of medical terminology and practice, clinic, or laboratory procedures. Schedule and register patients for visits, verify insurance, check out...
-
Medical Customer Service Representative
5 days ago
Baton Rouge, United States Patient Plus Urgent Care Full timeAnswer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding services provided at the offices. Perform administrative duties using specific knowledge of medical terminology and practice, clinic, or laboratory procedures. Schedule and register patients for visits, verify insurance, check out...
-
Medical Customer Service Representative
5 days ago
Baton Rouge, United States Patient Plus Urgent Care Full timeJob DescriptionJob DescriptionDescription:Answer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding services provided at the offices. Perform administrative duties using specific knowledge of medical terminology and practice, clinic, or laboratory procedures. Schedule and register patients for...
-
Patient Services Representative
2 weeks ago
Baton Rouge, United States Baton Rouge General Full timeDescriptionJOB SUMMARYAs a Patient Services Representative, you will play a pivotal role in providing exceptional customer service to patients and facilitating efficient communication between healthcare professionals. If you have a passion for assisting individuals in a healthcare setting and possess strong communication skills, this role offers an...
-
Patient Services Representative
1 week ago
Baton Rouge, United States Baton Rouge General Full timeDescription JOB SUMMARY As a Patient Services Representative, you will play a pivotal role in providing exceptional customer service to patients and facilitating efficient communication between healthcare professionals. If you have a passion for assisting individuals in a healthcare setting and possess strong communication skills, this role offers an...
