Patient Access Representative

luminishealth; Annapolis (MD); On-site; USD 35,000 - 48,000; Full time

Job summary

Luminis Health is seeking a detail-focused Patient Access Representative to support registration, insurance verification and patient communications. This role emphasizes accurate data entry, adherence to HIPAA and organizational policies, and collaboration with clinical and hospital staff.

Responsibilities include face-to-face and phone registrations, real-time eligibility checks, and maintaining efficiency in EPIC/Meditech environments. Training and adherence to downtime procedures are expected.

Qualifications

• Accurately obtains and processes patient demographic, insurance and medical information.
• Maintains 98% accuracy in Master Patient Index and related records.
• Provides required regulatory information (HIPAA, Patient Rights, etc.) to patients.

Responsibilities

• Registers patients face-to-face and by phone, communicating financial responsibilities and collecting funds as needed.
• Prioritizes PAR workflow and monitors department queues to meet deadlines.
• Applies knowledge of multiple systems (Epic, Meditech, Outlook) in daily tasks.
• Communicates with staff and patients professionally to support admissions and registrations.
• Assists with downtime procedures and disaster readiness as required.

Skills

Customer service

Attention to detail

Multitasking

Professional communication

Tools

Epic EMR

Meditech

Outlook

Job description

Communicates with patients, medical staff, hospital staff and visitors in a professional manner providing excellent customer service as reflected in Luminis Health's policies and practices.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

1. Accurately obtains and processes patient demographic, insurance and medical information for registrations, admissions and financial purposes. Demonstrates the ability to identify and register patient accurately into the Master Patient Index thereby reducing erroneous duplicate Medical Records. PAR will be expected to maintain a 98% accuracy rate, in accordance with Best Practice Standards. Demonstrates the ability to act appropriately on Real Time Insurance eligibility messages, including adding, removing, correcting, and terminating coverages. Demonstrates excellence in ensuring patients are provided with necessary regulatory information (i.e. HIPAA, Patient Rights Brochure, IMM, NOOS, ABN, etc.)
2. Consistently registers patients face-to-face; communicates financial responsibilities to patients and collects funds accordingly. Answers the phone courteously and professionally and as per department guidelines, responds to inquiries, and refers all calls as appropriate.
3. Independently prioritizes PAR workflow (including, but not limited to, work queue management, patient registrations, insurance verification, and other assigned tasks) to meet deadlines and maximize productivity; Responsible for the daily monitoring and corrections of the department work queue(s).
4. Demonstrates ability to apply technical knowledge in multiple systems, including but not limited to Epic-based applications, Meditech applications, administrative applications (i.e. Outlook, AAMC Intranet, Active Staffer, TimePC, etc.)and necessary online applications (i.e. IXT Copay Collections).
5. Maintains a thorough understanding of downtime and/or disaster procedures, and effectively demonstrates the ability to perform job functions during such conditions.

McNew Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Accurately obtains and processes patient demographic, insurance, and medical information. Correctly identifies and registers patient into the Master Patient Index. Acts appropriately on Real Time Insurance eligibility messages, including adding, removing, correcting, and terminating coverages. Provides patients with the necessary regulatory information.

Demonstrated ability to apply technical knowledge in multiple systems, including but not limited to Epic-based applications, administrative applications and necessary online applications.

Manages assigned EPIC work queues.

Independently prioritizes PAR workflow to meet standards for performance and productivity within departmental deadlines.

Maintains a thorough understanding of downtime procedures and effectively demonstrates the ability to perform job functions during such conditions.

Adheres to the compliance policies of the department and organization. Maintains knowledge of departmental issues and hospital-wide change, by attending meetings and in-services, and by keeping abreast of all appropriate written and electronic emails provided to the employee.

Assists with the training and orientation of new staff, as needed, and under the direction of the Manager.

Identifies insurance verification issues and takes necessary steps to resolve them and/or inform patients of options.

Answers the phone courteously and professionally, responding to inquiries and referring calls, as appropriate. Provides warm and friendly greetings to patient and their families/visitors, upon arrival. Maintains empathy and professionalism during registration interviews and while providing regulatory information and notices.

Clearly and professionally communicates to internal and external customers, including (but not limited to), clinical staff, coworkers, administration, and other outside departmental staff. Works collaboratively with and under the direction of the assigned shift coordinator.

Behavioral Health Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Accurately obtains and processes patient demographic, insurance, and medical information. Correctly identifies and registers patient into the Master Patient Index. Acts appropriately on Real Time Insurance eligibility messages, including adding, removing, correcting, and terminating coverages. Provides patients with the necessary regulatory information.

Demonstrated ability to apply technical knowledge in multiple systems, including but not limited to Epic-based applications, administrative applications and necessary online applications.

Manages assigned EPIC work queues.

Independently prioritizes PAR workflow to meet standards for performance and productivity within departmental deadlines.