Patient Access Rep I
Job Summary: The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of cash. the PAR1 ensures the patient's experience is best in class and demonstrates effective communication skills with patients and families, physicians, nurses, and insurance companies. The PAR1 is knowledgeable of and compliant with federal and state regulations related to acute-care patient registration.
Job Description Disclaimer: This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts, or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right
to revise the job or to require that other or different tasks be performed when circumstances change (e g., emergencies, changes in personnel, workload, rush jobs, or technological development).
Experience 1-year relevant experience (customer service, billing, registration, finance, or accounting) in medical office, hospital setting, or insurance office. Bachelor's Degree substitutes for 1 year of experience required.
High School diploma or equivalent required.
Advanced clerical and computer skills, critical thinking skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability,
flexibility, teamwork. Familiarity with federal regulations regarding 2 midnight rules, ABNs, Patient status requirements, MSPs, state regulations on notifications of out-of-network status and sexual crime legislation, EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute; HITECH law, worker's compensation regulations and victims of sexually-oriented criminal offenses regulations.