Franciscan Missionaries of Our Lady University
Patient Access Representative 1 - ED (7p-7a)
Franciscan Missionaries of Our Lady University, Baton Rouge, Louisiana, us, 70873
Patient Access Representative 1 - ED (7p-7a)
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Patient Access Representative 1 - ED (7p-7a)
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Franciscan Missionaries of Our Lady University
Job Description The Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Registration includes validating patient identity, collecting ED‑specific screening information, coordinating with ED nurses to ensure patients are triaged in a timely manner, verification of insurance coverage, calculation of and collection of patient co‑insurance/deductibles/co‑pays, determination of in‑network and out‑of‑network status post‑stabilization, and balancing of cash. In this fast‑paced, high‑stress environment, the PAR1 demonstrates professional and effective communication skills with patients, families, physicians, and nurses. They manage patient and visitor concerns during traumas and disasters, and are knowledgeable of and compliant with federal and state regulations related to acute‑care patient registration, with special emphasis on EMTALA regulations and the No Surprises Act. Team members in the ED must be flexible to change and able to adapt to a constantly changing environment, and must respond to disaster activation with plans to work on‑site until activation is complete.
Responsibilities
Registration and process patient admission, ensuring accurate and timely entry in the registration system.
Build productive customer relationships, maintain professionalism, and address special needs and concerns of patients and visitors.
Apply EMTALA regulations when identifying patients without proof of legal identification.
Collect and input required demographic, insurance, and guarantor information; verify and correct existing records when necessary.
Use critical‑thinking skills to customize registration experiences based on individual patient circumstances and to ensure compliance with federal and state laws.
Handle special needs of patients and families during active trauma and disaster events.
Coordinate registration intake for trauma, stroke, and heart alerts to ensure timely triage.
Ensure each patient is assigned a single medical record number.
Obtain patient or legal guardian signatures on all necessary hospital documents such as consent, assignment of benefits, and patient rights forms.
Document encounters in account notes for clear cross‑functional communication.
Confirm orders received are consistent with tests and procedures.
Monitor the waiting room, facilitate patient flow, and resolve order or information issues.
Communicate effectively with patients, families, EMS, RNs, and providers simultaneously.
Demonstrate knowledge of insurance plans and payer rules, including Medicare Secondary Payer requirements.
Verify eligibility via online tools and obtain authorizations when required.
Select correct insurance plans in order of primary vs. secondary coverage.
Explain required forms and payment processes to patients.
Use payment estimator software to calculate patient financial responsibility and verify accuracy of outputs.
Identify potential eligibility for financial assistance and direct patients appropriately.
Collect financial obligations at or before service, negotiate deposits, and explain out‑of‑pocket calculations.
Analyze account documentation to explain balances to patients.
Complete account acknowledgment forms when applicable and balance cash drawers.
Perform all other duties as assigned.
Qualifications Experience:
1 year customer service experience or related certification (e.g., Certified Coder, Certified Medical Assistant).
Education:
High School diploma or equivalent.
Special Skills:
Advanced clerical and computer skills, critical thinking, ability to work in high‑stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork.
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
Industry Hospitals and Health Care
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Patient Access Representative 1 - ED (7p-7a)
role at
Franciscan Missionaries of Our Lady University
Job Description The Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Registration includes validating patient identity, collecting ED‑specific screening information, coordinating with ED nurses to ensure patients are triaged in a timely manner, verification of insurance coverage, calculation of and collection of patient co‑insurance/deductibles/co‑pays, determination of in‑network and out‑of‑network status post‑stabilization, and balancing of cash. In this fast‑paced, high‑stress environment, the PAR1 demonstrates professional and effective communication skills with patients, families, physicians, and nurses. They manage patient and visitor concerns during traumas and disasters, and are knowledgeable of and compliant with federal and state regulations related to acute‑care patient registration, with special emphasis on EMTALA regulations and the No Surprises Act. Team members in the ED must be flexible to change and able to adapt to a constantly changing environment, and must respond to disaster activation with plans to work on‑site until activation is complete.
Responsibilities
Registration and process patient admission, ensuring accurate and timely entry in the registration system.
Build productive customer relationships, maintain professionalism, and address special needs and concerns of patients and visitors.
Apply EMTALA regulations when identifying patients without proof of legal identification.
Collect and input required demographic, insurance, and guarantor information; verify and correct existing records when necessary.
Use critical‑thinking skills to customize registration experiences based on individual patient circumstances and to ensure compliance with federal and state laws.
Handle special needs of patients and families during active trauma and disaster events.
Coordinate registration intake for trauma, stroke, and heart alerts to ensure timely triage.
Ensure each patient is assigned a single medical record number.
Obtain patient or legal guardian signatures on all necessary hospital documents such as consent, assignment of benefits, and patient rights forms.
Document encounters in account notes for clear cross‑functional communication.
Confirm orders received are consistent with tests and procedures.
Monitor the waiting room, facilitate patient flow, and resolve order or information issues.
Communicate effectively with patients, families, EMS, RNs, and providers simultaneously.
Demonstrate knowledge of insurance plans and payer rules, including Medicare Secondary Payer requirements.
Verify eligibility via online tools and obtain authorizations when required.
Select correct insurance plans in order of primary vs. secondary coverage.
Explain required forms and payment processes to patients.
Use payment estimator software to calculate patient financial responsibility and verify accuracy of outputs.
Identify potential eligibility for financial assistance and direct patients appropriately.
Collect financial obligations at or before service, negotiate deposits, and explain out‑of‑pocket calculations.
Analyze account documentation to explain balances to patients.
Complete account acknowledgment forms when applicable and balance cash drawers.
Perform all other duties as assigned.
Qualifications Experience:
1 year customer service experience or related certification (e.g., Certified Coder, Certified Medical Assistant).
Education:
High School diploma or equivalent.
Special Skills:
Advanced clerical and computer skills, critical thinking, ability to work in high‑stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork.
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
Industry Hospitals and Health Care
#J-18808-Ljbffr