Patient Access Representative- Emergency Room

University of Mississippi Medical Center; Canton (MS); On-site; USD 33,000 - 42,000; Full time

Job summary

A prominent healthcare institution in Canton, MS is seeking a Patient Access Representative to provide professional patient assistance in the Emergency Room. Responsibilities include greeting patients, verifying insurance information, and managing patient registration. The ideal candidate should possess strong communication and organizational skills, with a high school diploma and one year of relevant experience. This role ensures efficient patient flow and compliance with hospital policies, making it critical to delivering quality healthcare service.

Qualifications

• One year of experience in clinical admissions, patient registration, or patient scheduling.
• Basic knowledge of patient throughput workflows and regulations.
• Basic knowledge of third-party insurance and government insurance plans.
• Ability to maintain confidentiality.

Responsibilities

• Greet and assist patients and families in the Emergency Room.
• Complete accurate patient registration including verification of demographic and insurance information.
• Verify insurance eligibility and benefits and update records.
• Collect patient co-pays and provide information about financial assistance programs.
• Respond promptly to patient inquiries with sensitivity.
• Collaborate with clinical and security teams to manage patient intake based on acuity.
• Enter and maintain patient data in the EMR and registration systems, correcting duplicates or errors.
• Respond promptly to patient inquiries with sensitivity to diverse situations.
• Stay informed on payer guidelines, hospital policies, and ED protocols to ensure compliance.

Skills

Strong communication

Customer service

Organizational skills

Analytical skills

Proficiency in Microsoft Word and Excel

Excel

Analytical thinking

Education

High school diploma/GED

Tools

EMR systems

Registration software

Microsoft Word

Excel

Job description

Job Summary

The Patient Access Representative is responsible for greeting patients, verifying insurance information, registering patients for services, collecting payments, scheduling appointments, and maintaining accurate patient records, all while ensuring the integrity of the Master Patient Index. The Patient Access Representative ensures a smooth and welcoming experience and adheres to all regulatory and confidentiality standards. Strong communication, customer service, and organizational skills are essential for success in this role.

Knowledge, Skills, and Abilities

Basic knowledge of patient throughput workflows and regulations. Proficient in revenue cycle healthcare systems. Ability to maintain confidentiality. Intellectual capacity to understand and analyze complex payer guidelines and proper patient access regulations. Demonstrated analytical skills to discover root cause of errors and properly correct. Good verbal and written communication skills. Maintains professional standards. Effective organizational skills. Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry.

Responsibilities

• Greet and assist patients, families, and visitors in the Emergency Room with professionalism, empathy, and a sense of urgency.
• Complete timely and accurate patient registration, including collection and verification of demographic, insurance, and financial information.
• Obtain necessary patient signatures on consent forms, privacy notices, and financial documents, ensuring compliance with hospital and legal requirements.
• Verify insurance eligibility and benefits using electronic tools or direct contact with payers, and update records accordingly.
• Determine and collect patient co-pays, deductibles, or deposits as appropriate; provide information about financial assistance programs when needed.
• Collaborate with clinical and security teams to prioritize patient intake based on acuity and maintain efficient patient flow.
• Accurately enter and maintain patient data in the electronic medical record (EMR) and registration systems, correcting duplicate records or errors as necessary.
• Respond promptly and courteously to patient and family inquiries, demonstrating sensitivity to diverse situations and emotional states.
• Stay informed on payer guidelines, hospital policies, and Emergency Department protocols to ensure compliance and accuracy.
• Support process improvements and assist in training new staff when applicable; provide backup assistance to other Patient Access areas during high-volume periods.
• Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive; Management retains the right to add or change duties at any time.

Physical and Environmental Demands

Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, no activities subject to significant volume changes of a seasonal/clinical nature, occasional work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, occasional lifting/carrying up to 50 pounds, occasional lifting/carrying up to 75 pounds, occasional lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, no climbing, no crawling, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, frequent reaching, frequent sitting, frequent, standing, occasional twisting, and frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Requirements

Education & Experience

High school diploma/GED and one (1) year’s experience of clinical admissions, patient registration, or patient scheduling

Certifications, Licenses or Registration required

N/A

Preferred Qualifications

Knowledge of ICD-10/HCPCS/CPT coding

Basic knowledge of third-party insurance and government insurance plans