FMOL Health
Patient Access Representative 1 - ED (7a-7p)
10 hours ago Be among the first 25 applicants
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/effective communication skills with patients and families, physicians, and nurses. They manage patient and visitor concerns during traumas and disasters. The PAR1 is 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 have an ability to adapt and adjust to a constantly changing environment. Must be able to respond to disaster activation with plans to work on‑site until conclusion of activation.
Responsibilities
Registration: Accurately identify patients that present to the ER without proof of legal identification due to EMTALA regulations.
Obtain necessary information from patient, including demographic information, insurance, guarantor, and correctly input it into registration software. If patient is already in the system, find correct patient record and verify information.
Use critical thinking skills to evaluate each registration situation to ensure a customized registration experience based on individual patient circumstances.
Use 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.
Manage the special needs of patients/family members and visitors during active traumatic situations and disaster events.
Coordinate registration intake of trauma, stroke and heart alerts to ensure timely triage.
Ensure each patient is assigned only one medical record number.
Communicate the purpose of and obtain patient/legal guardian signatures on all necessary hospital documents such as consent forms, assignment of benefits, patient rights, etc.
Extensively document each encounter in account notes to ensure successful cross‑function communication.
Ensure orders are received and are consistent with tests/procedures.
Monitor the waiting room, facilitate patient flow, and resolve issues regarding orders or missing/conflicting information to ensure timely and accurate patient registration.
Communicate effectively with patient, family, visitors, EMS, RNs and providers simultaneously.
Insurance and Benefits Knowledge: Demonstrate knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage.
Verify eligibility (utilizing online eligibility software tools whenever possible) and obtain necessary authorizations for services rendered.
Select correct insurance plans in the registration software, in the correct order (primary versus secondary).
Understand required forms (including Medicare Secondary Payer Questionnaire) and explain them to the patient.
Utilize payment estimator software to calculate patient financial responsibility. Use critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output.
Determine when patients may be eligible for financial assistance and direct patients to appropriate resources.
Financial Collections: Use proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiate with patient to ensure a deposit is collected, in accordance with corporate policy and procedure.
Understand and explain the details of the out‑of‑pocket calculation.
Expect to collect out‑of‑pocket responsibility at patient bedside without prior benefit information prior to service while navigating around patient care team.
Analyze documentation/notes on current and previous accounts to explain balances to the patient.
Demonstrate knowledge and ability to complete account acknowledgement forms when appropriate.
Collect cash, print receipts, and balance cash drawers.
Other Duties as Assigned: Perform all other duties as assigned.
Qualifications
1 year customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant).
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.
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries Hospitals and Health Care
Location: Baton Rouge, LA
Pay range: $12.00-$15.00 per hour
Posting date: 3 months ago
Referrals increase your chances of interviewing at FMOL Health by 2x
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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/effective communication skills with patients and families, physicians, and nurses. They manage patient and visitor concerns during traumas and disasters. The PAR1 is 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 have an ability to adapt and adjust to a constantly changing environment. Must be able to respond to disaster activation with plans to work on‑site until conclusion of activation.
Responsibilities
Registration: Accurately identify patients that present to the ER without proof of legal identification due to EMTALA regulations.
Obtain necessary information from patient, including demographic information, insurance, guarantor, and correctly input it into registration software. If patient is already in the system, find correct patient record and verify information.
Use critical thinking skills to evaluate each registration situation to ensure a customized registration experience based on individual patient circumstances.
Use 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.
Manage the special needs of patients/family members and visitors during active traumatic situations and disaster events.
Coordinate registration intake of trauma, stroke and heart alerts to ensure timely triage.
Ensure each patient is assigned only one medical record number.
Communicate the purpose of and obtain patient/legal guardian signatures on all necessary hospital documents such as consent forms, assignment of benefits, patient rights, etc.
Extensively document each encounter in account notes to ensure successful cross‑function communication.
Ensure orders are received and are consistent with tests/procedures.
Monitor the waiting room, facilitate patient flow, and resolve issues regarding orders or missing/conflicting information to ensure timely and accurate patient registration.
Communicate effectively with patient, family, visitors, EMS, RNs and providers simultaneously.
Insurance and Benefits Knowledge: Demonstrate knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage.
Verify eligibility (utilizing online eligibility software tools whenever possible) and obtain necessary authorizations for services rendered.
Select correct insurance plans in the registration software, in the correct order (primary versus secondary).
Understand required forms (including Medicare Secondary Payer Questionnaire) and explain them to the patient.
Utilize payment estimator software to calculate patient financial responsibility. Use critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output.
Determine when patients may be eligible for financial assistance and direct patients to appropriate resources.
Financial Collections: Use proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiate with patient to ensure a deposit is collected, in accordance with corporate policy and procedure.
Understand and explain the details of the out‑of‑pocket calculation.
Expect to collect out‑of‑pocket responsibility at patient bedside without prior benefit information prior to service while navigating around patient care team.
Analyze documentation/notes on current and previous accounts to explain balances to the patient.
Demonstrate knowledge and ability to complete account acknowledgement forms when appropriate.
Collect cash, print receipts, and balance cash drawers.
Other Duties as Assigned: Perform all other duties as assigned.
Qualifications
1 year customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant).
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.
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries Hospitals and Health Care
Location: Baton Rouge, LA
Pay range: $12.00-$15.00 per hour
Posting date: 3 months ago
Referrals increase your chances of interviewing at FMOL Health by 2x
#J-18808-Ljbffr