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Lafayette, United States Franciscan Missionaries of Our Lady Health System Full timeJob DescriptionWhat Makes Us Different?We offer career opportunities for people who have a calling to share their gifts and talents as part of our healing ministry. As part of the Franciscan Missionaries of Our Lady Health System, we are here to create a spirit of healing - and we invite you to join our team today if you would like to be part of that spirit....
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Patient Access Representative I 0.5 Evenings
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Patient Access Representative 2
1 month ago
Job DescriptionThe 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 requirements, including data elements, insurance verification, and authorization for services; collections for all patient portions including prior balances; and balancing of cash at shift end. The PAR communicates directly with patients and families, physicians, nurses, insurance companies, and third party payers. The PAR2 has the ability to, and serves as, team lead, lean Process improvement participant, new hire preceptor/mentor and/or auditor for regulatory and billing compliance.Responsibilities Customer Service 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. Quality Adheres to the Passport accuracy percentage rate of 97.5 or above on a consistent basis when registering accounts. Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change. Supports the department in achieving established performance targets. Completes training required as needed. Demonstrates reliability and dependability by reporting to work when scheduled. Financial Collections Calculates and collects the estimated patient portion, based on benefits and contract reimbursement as well as prior balances. Utilizes appropriate language and behavior to collect patient financial responsibility. Collects co-payments, deductibles, deposits and/or amounts due on previous accounts. Demonstrates knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous and professional manner. Demonstrates knowledge and ability to review and explain previous accounts. Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate. Collects cash, prints receipts, and balances cash drawers. Insurance and Benefits Knowledge Demonstrates knowledge of insurance plans. Verifies eligibility and obtains necessary authorizations for services rendered. Completes Medicare Secondary Payor Questionnaire. Utilizes online eligibility. Obtains authorization/verification of required insurance companies. Utilizes appropriate software and worksheets to calculate patient financial responsibility. Performs financial assessment for appropriate program assistance. Utilizes appropriate guidelines to assist patient with financial responsibility. Demonstrates accuracy in selected insurance plans (I-plans). Registration Obtains and accurately inputs all require data elements for registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner. Ensures each patient is assigned only one medical record number. Selects appropriate patient type based on the department and services required. 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. Documents in account notes. Ensures orders are received and are consistent with tests/procedures. Gives patient documents that he/she needs to take with him/her to other departments. Leadership Serves in a team lead role (if assigned). Participates in/assists with performance improvement initiatives and demonstrates an understanding and compliance of all department policies and procedures. Mentors and trains other associates. Acts as auditor for regulatory and billing compliance. Other Duties as Assigned Performs all other duties as assigned. QualificationsExperience: 2 years relevant experience (registration, patient scheduling, customer service, billing, or coding) in the healthcare industry, with demonstrated proficiency and consistency in meeting department goals.License/ Cert: Related certification (Certified Coder, Certified Medical Assistant, or Certified Healthcare Access Associate) or bachelor's degree substitutes for 1 year of experience.Education: High School diploma or equivalentSpecial Skills: 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.About UsFounded by the Franciscan Missionaries of Our Lady in 1949, Our Lady of Lourdes is a regional acute care medical center focused on the healing ministry of Jesus Christ. Lourdes is a wholly owned subsidiary of the Franciscan Missionaries of Our Lady Health System, which is the largest locally-owned, not-for-profit health system in Louisiana. As such, our hospital has access to a great many resources - helping us to fulfill our mission. The hospital employs more than 2,200 people and offers a physician staff of over 600 doctors in a variety of medical and surgical specialties. Lourdes' services include Centers of Excellence in the areas of Orthopedics, Stroke and a Robotics Surgery Program. The hospital is home to the only burn unit in Southwest Louisiana and a Commission on Cancer accredited oncology program. Our Lady of Lourdes operates Our Lady of Lourdes Heart Hospital, a premier 32-bed cardiac facility and Our Lady of Lourdes Women's & Children's Hospital offering the area's only Pediatric Intensive Care Unit and Level 3 Surgical Neonatal Intensive Care Unit. With additional services including multiple clinics, four imaging locations and a primary care physician network, Lourdes provides easy access to comprehensive care throughout the community.