FMOL Health
Patient Access Representative 1 – Hospital
FMOL Health
Baton Rouge, LA
Job Description 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.
Responsibilities
Registration – effectively meet customer needs, build productive customer relationships, represent the Patient Access department in a professional, courteous manner, prioritize and complete registration consistently, accurately, and timely.
Obtain necessary information from patient, including demographic information, insurance, guarantor, and correctly input it into registration software.
Use critical thinking skills to evaluate each registration situation and customize the experience based on individual patient circumstances.
Ensure compliance with federal and state laws (EMTALA, HIPAA, etc.) and ensure compliant registration.
Assign one medical record number per patient and obtain signatures on hospital documents.
Document each encounter in account notes to ensure cross‑function communication.
Verify orders, facilitate patient flow, and resolve issues regarding orders or missing/conflicting information.
Handle insurance and benefits knowledge – demonstrate understanding of payer rules, verify eligibility, obtain authorizations, select correct insurance plans.
Utilize payment estimator software to calculate patient financial responsibility.
Determine eligibility for financial assistance and direct patients to resources.
Perform financial collections – collect patient financial obligations at or before the time of service, negotiate deposits, explain out‑of‑pocket calculations, analyze account balances, complete account acknowledgement forms, collect cash, print receipts, and balance cash drawers.
Perform other duties as assigned.
Qualifications
Education: High School diploma or equivalent.
Experience: One year of customer service experience or related certification (e.g., Certified Coder, Certified Medical Assistant) substitutes for one year of experience.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
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Baton Rouge, LA
Job Description 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.
Responsibilities
Registration – effectively meet customer needs, build productive customer relationships, represent the Patient Access department in a professional, courteous manner, prioritize and complete registration consistently, accurately, and timely.
Obtain necessary information from patient, including demographic information, insurance, guarantor, and correctly input it into registration software.
Use critical thinking skills to evaluate each registration situation and customize the experience based on individual patient circumstances.
Ensure compliance with federal and state laws (EMTALA, HIPAA, etc.) and ensure compliant registration.
Assign one medical record number per patient and obtain signatures on hospital documents.
Document each encounter in account notes to ensure cross‑function communication.
Verify orders, facilitate patient flow, and resolve issues regarding orders or missing/conflicting information.
Handle insurance and benefits knowledge – demonstrate understanding of payer rules, verify eligibility, obtain authorizations, select correct insurance plans.
Utilize payment estimator software to calculate patient financial responsibility.
Determine eligibility for financial assistance and direct patients to resources.
Perform financial collections – collect patient financial obligations at or before the time of service, negotiate deposits, explain out‑of‑pocket calculations, analyze account balances, complete account acknowledgement forms, collect cash, print receipts, and balance cash drawers.
Perform other duties as assigned.
Qualifications
Education: High School diploma or equivalent.
Experience: One year of customer service experience or related certification (e.g., Certified Coder, Certified Medical Assistant) substitutes for one year of experience.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr