Patient Access Representative (Full Time Mercy Ballas)
St. Louis, MO - USA
Job Summary
The Patient Access Representative will facilitate all components of the patients entrance into any Mercy facility. This may include scheduling registration benefit verification pre-certification and financial clearance including pre-visit collection. The Patient Access Representative will be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This co-worker must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers Medicare guidelines as well as federal state and accreditation agencies.
Mercy Hospital St. Louis St. Louis MO
Mercy Hospital St. Louis is seeking a customer-focused and detail-oriented Patient Access Representative to join our Emergency Department team on a Part Time basis. This role serves as the first point of contact for patients and visitors and is responsible for facilitating all aspects of the patient access process including registration insurance verification financial clearance scheduling and collection of patient financial responsibilities.
The Patient Access Representative plays a critical role in ensuring an exceptional patient experience while supporting accurate registration regulatory compliance and revenue cycle operations. Successful candidates demonstrate strong communication skills attention to detail and the ability to perform effectively in a fast-paced emergency care environment.
Greet patients families and visitors with warmth professionalism and compassion.
Deliver exceptional customer service to patients physicians coworkers insurance carriers and other stakeholders.
Assist patients with registration and admission processes while maintaining a positive and supportive experience.
Minimize wait times and ensure efficient patient flow throughout the registration process.
Respond professionally to inquiries in person and over the phone.
Collect and accurately enter demographic insurance and guarantor information into the electronic medical record.
Verify insurance eligibility benefits and authorization requirements.
Complete registration scheduling referrals and financial clearance activities according to department guidelines.
Ensure appointments and patient encounters are accurately documented and processed.
Utilize at least two patient identifiers to accurately match patients to their medical records.
Discuss out-of-pocket expenses and financial obligations with patients in a professional and compassionate manner.
Collect patient payments before or at the time of service when appropriate.
Accurately post payments and reconcile cash drawer transactions according to departmental policy.
Refer patients to financial assistance programs or Medicaid eligibility resources as needed.
Support revenue cycle goals by ensuring complete and accurate financial documentation.
Maintain strict confidentiality of patient information and comply with all HIPAA requirements.
Obtain required consents insurance forms financial agreements and legal signatures.
Ensure compliance with EMTALA Medicare regulations Joint Commission standards and other federal and state requirements.
Secure patient information and properly dispose of confidential documents.
Collaborate effectively with clinical departments physicians offices and fellow coworkers to ensure seamless patient care.
Demonstrate professional communication and a positive team-oriented attitude.
Adapt to changing priorities and support departmental initiatives.
Participate in process improvement efforts and ongoing training opportunities.
Demonstrate proficiency in registration systems electronic medical records and other required software applications.
Follow downtime procedures and manual registration processes when needed.
Maintain accuracy while working under pressure in a fast-paced Emergency Department environment.
Meet established productivity quality and revenue cycle performance standards.
High School Diploma or equivalent.
Strong customer service and communication skills.
Ability to accurately manage multiple tasks while maintaining attention to detail.
Proficiency with computers and data entry.
Ability to work effectively in a high-volume fast-paced healthcare setting.
13 years of clerical registration or customer service experience.
Previous healthcare hospital or medical office experience.
Knowledge of medical terminology.
Experience with insurance verification eligibility processes and healthcare billing requirements.
Some college coursework.
Excellent verbal and written communication skills.
Strong organizational and problem-solving abilities.
Ability to remain calm and professional under stress.
Attention to detail and commitment to accuracy.
Exceptional customer service and interpersonal skills.
Ability to establish positive working relationships with patients physicians hospital staff and insurance providers.
Ability to push pull and/or lift up to 50 pounds on a regular basis.
Ability to stand and walk for extended periods during each shift.
Ability to bend kneel twist squat reach and grip as necessary to perform job duties.
From day one Mercy offers outstanding benefits - including medical dental and vision coverage paid time off tuition support and matched retirement plans for team members working 32 hours per pay period.
Join a caring collaborative team where your voice matters. At Mercy youll help shape the future of healthcare through innovation technology and compassion. As we grow youll grow with us.
Required Experience:
Unclear Seniority
About Company
Mercy is one of the largest U.S. health systems with 44 acute care & specialty hospitals, over 700 physician & outpatient clinics in Arkansas, Kansas, Missouri & Oklahoma.