Patient Services Representative - ER - PRN

Lane Regional Medical Center•Zachary, LA

About The Position

The Patient Services Representative supports emergency department patient admissions and revenue-cycle processes. The role collects, verifies, and enters patient demographic, employer, financial, emergency contact, insurance, subscriber, and case-specific information into the EMR. It obtains and interprets insurance benefits, communicates coverage information to patients and coworkers, and ensures patients sign and scan the documents needed to complete admission. When a patient is admitted, the representative completes the admission notification process with the payer to help secure payment for the inpatient stay. The role explains relevant hospital revenue-cycle policies, discusses financial responsibility and referral requirements, offers options and negotiates resolutions for estimated balances, and documents all account activity. It also responds to admission referrals by entering referrals and scheduling appointments in EPIC, and performs other duties as assigned.

Requirements

Basic understanding of the Microsoft suite.
Basic keyboarding skills.
Critical thinking, sound judgment, and strong problem-solving skills.
Team-oriented, open-minded, flexible, and willing to learn.
Strong attention to detail and accuracy.
Ability to prioritize and function effectively, efficiently, and accurately in a multitasking, complex, fast-paced, and challenging department.

Responsibilities

Collect, verify, and enter patient demographic, employer, financial, emergency contact, insurance, subscriber, and case-specific information into the EMR system.
Obtain and interpret patients’ insurance benefits and accurately communicate the information to patients and coworkers.
Ensure patients sign and scan all documents required to complete the admission process.
Complete the admission notification (NOA) process with the patient’s payer when admission is decided, to help secure payment for the inpatient stay.
Inform patients about hospital policies governing the revenue cycle.
Discuss patients’ or guarantors’ financial responsibility for upcoming visits or procedures, past-due balances, and referral requirements.
Offer options and negotiate acceptable resolutions of estimated patient balances.
Document all activity on each account clearly and accurately.
Respond to incoming patient admission referrals through referral entry and appointment scheduling in EPIC.
Perform other duties as assigned.