Patient Access Rep - Cardiology Forsythe

FMOLHS•Monroe, LA

About The Position

The Patient Access Rep is responsible for accurately registering patients in the electronic medical record, validating patient information, verifying insurance coverage, collecting required payments, and supporting a high-quality patient experience. The role follows established guidelines and works under close supervision. The position provides customer service and clerical support in a cardiology clinic, including managing patient flow, scheduling appointments, processing referrals, maintaining records, and assisting patients with billing questions and access to resources. It also supports payor-regulation requirements by reviewing billing information, resolving claim discrepancies, processing charges and payments, and maintaining accurate patient accounts.

Requirements

High school diploma or equivalent.
Six months of experience in a customer service or front desk role, or graduation from a front office or medical office program; a bachelor’s degree may substitute for experience.
Professional demeanor and excellent customer service skills.
Ability to multitask and apply critical thinking.
Demonstrated computer literacy.
Ability to learn and demonstrate proficiency in Epic during the introductory period.

Responsibilities

Courteously explain collection and billing procedures and anticipated charges to patients.
Welcome patients and families, address their questions and concerns, and provide information about patient rights and Advance Directives upon request.
Accurately obtain, update, and maintain patient and insurance information in the clinic computer system.
Register patients in Epic and manage patient flow through the clinic.
Review schedules and accounts to determine patients’ financial responsibility and arrange payment plans.
Assist patients with access to government and community resources and facilitate access to information such as MyChart.
Coordinate referrals with physicians, nurse practitioners, and nursing staff in accordance with payor requirements.
Enter patient charges and update patient records as needed.
Process referral documentation, schedule and reschedule appointments, complete clerical duties, and file patient charts and information.
Research claim edits, denials, billing information, and discrepancies, and resolve them within the stated timeframes.
Key charges, process batches daily, and prepare bank and deposit summaries after reconciling payments and receipts.
Review diagnosis and procedure codes for accuracy and enter data at the point of service.
Verify and collect patient payments, confirm account balances, collect outstanding balances, and reconcile the daily cash fund.
Maintain general knowledge of health plans, including copays, deductibles, and coinsurance.
Manage cash according to established policies and procedures and meet site collection goals.
Back up other clinic team members, support operational improvement initiatives, and provide training or orientation when assigned.
Perform other duties as assigned.