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 (EMR), 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 customer service, appointment scheduling, patient-flow coordination, referral documentation, billing and payment processing, and adherence to payor requirements. It also performs general clerical duties, assists patients with access to health-care resources and MyChart, and may back up or train other clinic team members as 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 think critically.
Demonstrated computer literacy.
Ability to learn Epic and demonstrate proficiency during the introductory period.

Responsibilities

Courteously explain collection and billing procedures and anticipated charges to patients, including their payment responsibilities.
Welcome patients and families, address their questions and concerns appropriately, and inform patients of their 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 schedules, and manage patient flow through the clinic.
Review accounts to determine financial responsibility, arrange payment plans, collect outstanding balances, and help patients access government and community health-care resources.
Coordinate with physicians, nurse practitioners, and nursing staff to ensure referrals are completed according to payor requirements and in a timely manner.
Help patients access information, including MyChart, and enter patient charges as necessary.
Process referral documentation, schedule and reschedule appointments, answer telephone calls, retrieve medical records, record data, type memorandums, and file patient charts and information.
Research claim edits and denials and resolve discrepancies within two days of notification.
Research billing information, including physician charge information, and resolve discrepancies within two days of receipt.
Key charges and process batches daily; prepare the bank/deposit summary 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 for services, verify account balances, reconcile the daily cash fund, and manage cash securely according to established policies.
Maintain general knowledge of health plans, including copays, deductibles, and coinsurance, and meet site collection goals.
Provide backup support for clinic colleagues, support clinic, hospital, and health system operational-improvement initiatives, and provide training or orientation to team members when assigned.
Perform other duties as assigned.