Patient Access Representative - Internal Agency - Baton Rouge

FMOL Health; Baton Rouge (LA); Sur place; USD 30 000 - 40 000; Plein temps

Résumé du poste

A healthcare provider in Baton Rouge, Louisiana, is seeking a Patient Access Representative to facilitate patient access to services. Responsibilities include ensuring accurate data entry and financial collections, alongside providing exceptional customer service. Candidates should have a high school diploma and two years of relevant experience in healthcare, with certifications potentially substituting for experience. This role plays a critical part in the professionalism and efficiency of the patient access team.

Qualifications

• 2 years relevant experience in the healthcare industry.
• Related certification substitutes for 1 year of experience.

Responsabilités

• Facilitates welcoming access to the facility for patients.
• Responsible for establishing encounters for hospital service.
• Ensures accurate data entry, including demographic and financial information.
• Collects patient financial responsibilities accurately.

Connaissances

Customer Service

Financial Collections

Insurance and Benefits Knowledge

Formation

High School diploma or equivalent

Description du poste

Job Description

The Patient Access Representative facilitates a welcoming 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 ensures that all data entry is accurate, including demographic and financial information for each account. The PAR 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 PAR has the ability to serve as team lead, lean process improvement participant, new hire preceptor/mentor, and auditor for regulatory and billing compliance.

Responsibilities

• Customer Service Effective 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 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.
• 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.