Patient Access Representative - ED; Part Time

Patient Access Representative 1 – ED (Part Time)

The Patient Access Representative 1 – ED (PAR
1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Responsibilities include validating patient identity, collecting ED‑specific screening information, coordinating with ED nurses for timely triage, verifying insurance coverage, calculating and collecting co‑insurance/deductibles/co‑pays, determining in‑network and out‑of‑network status post‑stabilization, and balancing cash.

This high‑stress role requires professional communication with patients, families, physicians, and nurses, managing patient and visitor concerns during traumas and disasters, and maintaining compliance with federal and state regulations, notably EMTALA and the No Surprises Act. Team members must be flexible, adaptable, and ready to respond to disaster activation.

• Accurately register patients, ensuring identification and demographic data are correctly entered.
• Identify patients lacking legal  compliance with EMTALA regulations.
• Use critical thinking to tailor registration for individual circumstances, applying knowledge of relevant laws (HIPAA, EMTALA, etc.).
• Manage special needs of patients and families during traumatic or disaster situations.
• Coordinate registration intake for trauma, stroke, and heart alerts to ensure timely triage.
• Assign a single medical record number to each patient.
• Obtain necessary signatures on hospital documents (consent, assignment of benefits, patient rights).
• Document encounters in account notes for cross‑functional communication.
• Confirm orders and ensure consistency with tests/procedures.
• Monitor waiting room flow and resolve order or information issues.
• Communicate effectively with patients, families, visitors, EMS, nurses, and providers simultaneously.
• Demonstrate insurance eligibility knowledge and verify authorizations for services.
• Select correct insurance plans in order (primary vs secondary) within the registration system.
• Explain required forms (e.g., Medicare Secondary Payer Questionnaire) to patients.
• Use payment estimator software to calculate patient financial responsibility and verify accuracy.
• Determine eligibility for financial assistance and direct patients to resources.
• Collect patient financial obligation at or before the time of service, negotiate deposits, and explain out‑of‑pocket calculations.
• Analyze documentation/notes on current and previous accounts to explain balances.
• Complete account acknowledgement forms when appropriate.
• Collect cash, print receipts, and balance cash drawers.
• Perform all other duties as assigned.

• Experience: 1 year of customer service experience or related certification (e.g., Certified Coder, Certified Medical Assistant).
• Education: High School diploma or equivalent.
• Special skills: Advanced clerical and computer skills, critical thinking, ability to work under high stress, professional appearance and behavior, good communication, dependability, flexibility, teamwork.

• Entry level

• Part‑time

• Health Care Provider

• Hospitals and Health Care