Patient Access Representative 2 - Hospital (Cancer Center)

FMOL Health; Baton Rouge (LA); On-site; USD 42,000 - 54,000; Full time

Job summary

FMOL Health in Baton Rouge, LA seeks a Patient Access Representative 2 to facilitate welcoming access to the facility and to establish encounters for patients meeting hospital service guidelines. The role involves accurate data entry, insurance verification, authorizations, and collections of patient portions at shift end.

The PAR 2 may serve as team lead, participate in lean process improvement, mentor new hires, and audit regulatory and billing compliance as needed.

Qualifications

• High School diploma or equivalent required.
• Minimum 2 years of healthcare experience.
• Related certifications may substitute for experience.

Responsibilities

• Provide customer service and ensure patient satisfaction.
• Verify patient information and data entry accuracy.
• Collect patient financial responsibility and balance cash drawers.
• Verify insurance eligibility and obtain required authorizations.
• Register patients with accurate demographic and encounter data.
• Lead and mentor associates as needed.
• Participate in process improvement and quality initiatives.
• Handle all duties as assigned.

Skills

Customer Service

Quality

Financial Collections

Insurance Knowledge

Registration

Leadership

Other Duties

Education

High School diploma or equivalent

2 years healthcare experience

Job description

Job Description

The Patient Access Representative 2 (PAR 2) facilitates a welcome and easy access to the facility and is responsible for establishing an encounter for any patient who meets the guidelines for hospital service. The PAR 2 ensures that all data entry is accurate, including demographic and financial information for each account. The PAR 2 has numerous procedural requirements, including data elements, insurance verification, and authorization for services; collections for all patient portions including prior balances; and balancing of cash at shift end. The PAR communicates directly with patients and families, physicians, nurses, insurance companies, and third-party payers. The PAR2 has the ability to, and serves as, team lead, lean Process improvement participant, new hire preceptor/mentor and/or auditor for regulatory and billing compliance.

Responsibilities

• Customer Service
  • 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.
  • Greets patients in a courteous and professional manner.
• Quality
  • Adheres to the Passport accuracy percentage rate of 97.5 or above on a consistent basis when registering accounts.
  • Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change.
  • Supports the department in achieving established performance targets.
  • Completes training required as needed.
  • Demonstrates reliability and dependability by reporting to work when scheduled.
• Financial Collections
  • Calculates and collects the estimated patient portion, based on benefits and contract reimbursement as well as prior balances.
  • Utilizes appropriate language and behavior to collect patient financial responsibility.
  • Collects co-payments, deductibles, deposits and/or amounts due on previous accounts.
  • Demonstrates knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous and professional manner.
  • Demonstrates knowledge and ability to review and explain previous accounts.
  • Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate.
  • Collects cash, prints receipts, and balances cash drawers.
• Insurance and Benefits Knowledge
  • Demonstrates knowledge of insurance plans.
  • Verifies eligibility and obtains necessary authorizations for services rendered.
  • Completes Medicare Secondary Payor Questionnaire.
  • Utilizes online eligibility.
  • Obtains authorization/verification of required insurance companies.
  • Utilizes appropriate software and worksheets to calculate patient financial responsibility.
  • Performs financial assessment for appropriate program assistance.
  • Utilizes appropriate guidelines to assist patient with financial responsibility.
  • Demonstrates accuracy in selected insurance plans (I-plans).
• Registration
  • Obtains and accurately inputs all require data elements for registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.
  • Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner.
  • Ensures each patient is assigned only one medical record number.
  • Selects appropriate patient type based on the department and services required.
  • Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as: hospital consent forms, assignment of benefits, patient rights, etc.
  • Documents in account notes.
  • Ensures orders are received and are consistent with tests/procedures.
  • Gives patient documents that he/she needs to take with him/her to other departments.
• Leadership
  • Serves in a team lead role (if assigned).
  • Participates in/assists with performance improvement initiatives and demonstrates an understanding and compliance of all department policies and procedures.
  • Mentors and trains other associates.
  • Acts as auditor for regulatory and billing compliance.
• Other Duties as Assigned
  • Performs all other duties as assigned.

Qualifications

Education: High School diploma or equivalent
Experience: 2 years relevant experience in the healthcare industry. Related certification (e.g. Certified Coder, Certified Medical Assistant) substitutes for 1 year of experience.