PAR Rep I

Mercy Medical Center - Baltimore, MD

Full-time - Entry Level

Baltimore, MD

Nursing and Residential Care Facilities

About the position

The Patient Access Representative (PAR) at Mercy Medical Center plays a crucial role in the patient registration process and financial data collection upon a patient's arrival at the facility. This position is essential for ensuring that all necessary information is gathered accurately and efficiently to facilitate a smooth admission process. The PAR is responsible for maximizing hospital reimbursement by leveraging their knowledge of insurance requirements and coordinating admissions, procedures, and testing in the most appropriate healthcare setting. This role requires a thorough understanding of various insurance policies and the ability to navigate the complexities of precertification, referrals, and authorizations from contracted payers. In addition to registration duties, the Patient Access Representative must maintain effective communication with ancillary departments and other patient care units to ensure that all necessary information is shared and that patient care is coordinated seamlessly. This position is vital for the financial health of the hospital, as it directly impacts reimbursement rates and the overall efficiency of patient admissions. The PAR must be detail-oriented, possess strong organizational skills, and be able to work in a fast-paced environment while providing excellent customer service to patients and their families.

Responsibilities

• Perform patient registration and data collection upon patient arrival.
• Maximize hospital reimbursement by coordinating admissions, procedures, and testing.
• Maintain knowledge of insurance requirements for precertification, referrals, and authorizations.
• Coordinate with ancillary departments and other patient care units to ensure seamless patient care.
• Ensure accurate and timely collection of financial data related to patient admissions.

Requirements

• High school diploma or equivalent required.
• Experience in a healthcare setting preferred.
• Strong knowledge of insurance processes and requirements.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment and manage multiple tasks.

Nice-to-haves

• Experience with electronic health records (EHR) systems.
• Bilingual skills are a plus.

Benefits

• Health insurance coverage.
• Paid time off and holidays.
• Retirement savings plan options.
• Opportunities for professional development.