Patient Access Rep - Cardiology Forsythe

FMOLHS•Monroe, LA

About The Position

The Patient Access Rep is responsible for accurately registering patients in the EMR, validating patient information, verifying insurance coverage, collecting required payments, and ensuring a high-quality patient experience. The role follows established guidelines and works under close supervision. It supports patient access and clinic operations through customer service, patient-flow coordination, and compliance with payor regulations.

Requirements

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.
High school diploma or equivalent.
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 help patients understand their payment responsibilities.
Welcome patients and families, address their questions and concerns, and provide information about patient rights and Advance Directives upon request.
Obtain, verify, edit, and update patient and insurance information in the clinic computer system and Epic.
Register patients accurately and efficiently, monitor patient flow, and help ensure a positive patient experience.
Review schedules and accounts to determine financial responsibility and arrange payment plans.
Assist patients in accessing government and community resources and information such as MyChart.
Coordinate with physicians, nurse practitioners, and nursing staff to complete referrals in accordance with payor requirements and within appropriate timeframes.
Enter patient charges and process referral documentation, appointments, and related records accurately.
Perform clerical duties, including answering telephone calls, retrieving medical records, recording data, typing memorandums, and filing patient charts and information.
Research claim edits, denials, billing information, and discrepancies, and resolve them within two days of notification or receipt.
Key charges and process batches daily; prepare bank and deposit summaries after balancing payments to 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 securely and according to established procedures.
Meet site collection goals.
Provide clinic backup as needed, support operational-improvement initiatives, and provide training or orientation to team members when assigned.
Perform other duties as assigned.