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 helping ensure a high-quality patient experience. The role follows established guidelines and works under close supervision. The position supports patient access and clinic operations through courteous customer service, accurate patient and insurance records, appointment and referral coordination, patient-flow support, charge entry, and assistance with MyChart and community or government resources. It also handles billing and payor-related tasks, including researching claim edits and denials, collecting and reconciling payments, maintaining cash securely, and meeting site collection goals. Additional duties may include backing up clinic colleagues, supporting operational improvement initiatives, and training or orienting team members when assigned.

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 use 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, and respond appropriately to questions and concerns.
  • Welcome patients and families, inform patients of their rights and Advance Directives upon request, and help facilitate access to information such as MyChart.
  • Accurately obtain, update, and maintain patient and insurance information in the clinic computer system and enter patient charges as needed.
  • Register patients in Epic and monitor patient flow through the clinic.
  • Review schedules and accounts to determine patient financial responsibility, arrange payment plans, and assist patients with access to government and community health care resources.
  • Coordinate with physicians, nurse practitioners, and nursing staff to complete referrals in a timely manner and in accordance with payor requirements.
  • Process referral documentation, schedule and reschedule appointments, complete clerical duties, and file patient charts and records for efficient retrieval.
  • Research claim edits, denials, billing information, and discrepancies, resolving them within two days of notification or receipt.
  • Key charges and process batches daily, prepare bank/deposit summaries after balancing payments to receipts, and review diagnosis and procedure codes for accuracy.
  • Verify and collect patient payments, confirm account balances, reconcile the daily cash fund, maintain general knowledge of health plans, and handle cash securely according to policy.
  • Meet site collection goals.
  • Back up other clinic team members as needed, support clinic, hospital, and health system operational improvement initiatives, and provide training or orientation when assigned.
  • Perform other duties as assigned.
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