Patient Access Representative- Emergency Room

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.

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.
• Perform 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.

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.