Patient Access Representative - Urgent Care Coursey

FMOLHS•St. George, LA

About The Position

The Patient Access Representative registers patients accurately in the electronic medical record, validates patient and insurance information, verifies coverage, collects required payments, and helps provide a high-quality patient experience. The role follows established guidelines and works under close supervision. The representative welcomes and assists patients and families, explains collection and billing procedures, helps patients understand financial responsibility, and supports access to resources and health information, including MyChart. The role also coordinates referrals with clinical staff, manages patient records and charges, schedules appointments, supports patient flow, and completes clerical work. The position includes researching claim edits and denials, resolving billing discrepancies, processing charges and payment batches, reviewing diagnosis and procedure codes, collecting and reconciling payments, and maintaining familiarity with health plans and payment procedures. The representative may provide backup coverage, support operational improvement initiatives, and train or orient 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

Welcome patients and families courteously and address their questions and concerns appropriately.
Explain collection and billing procedures, anticipated charges, and patients’ financial responsibilities.
Inform patients of their rights and Advance Directives upon request.
Obtain, validate, update, and accurately enter patient and insurance information in the clinic’s computer system and Epic.
Register patients and help manage patient flow through the clinic.
Review schedules and accounts to determine financial responsibility, arrange payment plans, and collect payments.
Assist patients in accessing government and community resources and information such as MyChart.
Coordinate with physicians, nurse practitioners, and nursing staff to complete referrals according to payor requirements.
Enter patient charges and maintain accurate patient records.
Process referral documentation, schedule and reschedule appointments, answer telephone calls, retrieve records, record data, type memorandums, and file charts.
Research claim edits, denials, and billing discrepancies and resolve them within the stated timeframes.
Key charges, process batches daily, prepare bank or deposit summaries, and reconcile the daily cash fund.
Review diagnosis and procedure codes and enter data at the point of service.
Verify and collect patient payments, verify account balances, and securely manage and accurately credit cash payments.
Maintain general knowledge of health plans, including copays, deductibles, and coinsurance, and meet site collection goals.
Provide backup coverage, support clinic and health-system improvement initiatives, and train or orient team members when assigned.
Perform other duties as assigned.