Patient Access Representative 1 - ED

Franciscan Missionaries of Our Lady Health System; Baton Rouge (LA); On-site; USD 30,000 - 50,000; Full time

Job summary

In einem dynamischen und anspruchsvollen Umfeld suchen wir einen Patient Access Representative, der für die präzise Registrierung von Notfallpatienten verantwortlich ist. Diese Rolle erfordert exzellente Kommunikationsfähigkeiten und die Fähigkeit, in stressigen Situationen zu arbeiten, während man gleichzeitig die Bedürfnisse der Patienten im Blick behält. Sie werden mit einem engagierten Team zusammenarbeiten, um sicherzustellen, dass jeder Patient die bestmögliche Betreuung erhält. Wenn Sie eine Leidenschaft für den Kundenservice haben und in einem Umfeld arbeiten möchten, das sich ständig weiterentwickelt, ist dies die perfekte Gelegenheit für Sie, einen Unterschied zu machen.

Qualifications

• 1 Jahr Erfahrung im Kundenservice oder verwandte Zertifizierung erforderlich.
• Fortgeschrittene Büro- und Computerfähigkeiten sind notwendig.

Responsibilities

• Registrierung von Patienten im Notfallbereich unter Einhaltung von EMTALA-Vorschriften.
• Verwaltung von Patienten- und Besucheranliegen während traumatischer Situationen.

Skills

Kundenservice

Kritisches Denken

Kommunikationsfähigkeiten

Flexibilität

Teamarbeit

Education

High School Diploma oder gleichwertig

Tools

Registrierungssoftware

Zahlungsschätzungssoftware

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, and other emergency patients. Registration includes validating patient identity, collecting ED-specific screening information, coordinating with ED nurses to ensure timely triage, verifying insurance coverage, calculating and collecting patient co-insurance/deductibles/co-pays, determining in-network and out-of-network status post-stabilization, and balancing cash. In this fast-paced, high-stress environment, the PAR1 demonstrates professional communication skills with patients, 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 the ability to adapt 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
• 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 and greets them in a courteous and professional manner. Prioritizes and completes registration in a consistent, accurate, and timely manner.
• Accurately identifies patients that present to the ER without proof of legal identification due to EMTALA regulations.
• Obtains necessary information from patients, including demographic information and insurance, and correctly inputs it into registration software. If a patient is already in the system, finds the correct patient record and verifies information.
• Uses critical thinking skills to evaluate each registration situation to ensure a customized registration experience based on individual patient circumstances. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, and others) to ensure compliant registration.
• Manages the special needs of patients, family members, and visitors during active traumatic situations and disaster events.
• Coordinates registration intake of trauma, stroke, and heart alerts to ensure timely triage.
• Ensures each patient is assigned only one medical record number.
• Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents.
• Extensively documents each encounter in account notes to ensure successful cross-functional communication.
• Ensures orders are received and are consistent with tests/procedures.
• Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information to ensure timely and accurate patient registration.
• Effectively communicates with patients, families, visitors, EMS, RNs, and providers simultaneously.
• Insurance and Benefits Knowledge
• Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage.
• Verifies eligibility and obtains necessary authorizations for services rendered.
• Selects correct insurance plans in the registration software, in the correct order.
• Understands required forms and has the ability to explain them to the patient.
• Utilizes payment estimator software to calculate patient financial responsibility and verifies accuracy of output.
• Determines when patients may be eligible for financial assistance and directs patients to appropriate resources.
• Financial Collections
• Uses proven customer service techniques to collect the patient financial obligation, at or before the time of service.
• Understands and explains the details of the out-of-pocket calculation.
• Expected to collect out-of-pocket responsibility at patient bedside while navigating around patient care team.
• Analyzes documentation/notes on current and previous accounts to explain balances to the patient.
• Demonstrates knowledge and ability to complete account acknowledgment forms when appropriate.
• Collects cash, prints receipts, and balances cash drawers.
• Other Duties as Assigned
• Performs 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 skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, and teamwork.

• Job Identification 34682
• Job Category Revenue Cycle
• Job Shift Evening/Night & Every Other Weekend Rotation
• Job Function Patient Access
• Worker Type Employee
• Regular or Temporary Regular
• Requisition Schedule Full-Time
• Hours of Schedule 7p-7a
• Department Admissions-Lake Main Campus
• FMOLHS Company Code Our Lady of the Lake Hospital Inc