Patient Access Representative - Adult Primary Care - Hennessy

FMOLHS•Baton Rouge, LA

About The Position

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

High school diploma or equivalent.
At least 6 months of experience in a customer service or front desk role, or graduation from a front office/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 and ability to learn and demonstrate proficiency in Epic during the introductory period.

Responsibilities

Courteously explain collection and billing procedures, anticipated charges, and patient payment responsibilities.
Welcome patients and families and respond appropriately to their questions and concerns.
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 patient records.
Register patients in Epic and monitor patient flow through the clinic.
Review patient schedules and accounts to determine financial responsibility and arrange payment plans.
Help patients access government and community resources and facilitate access to MyChart and other information.
Coordinate with physicians, nurse practitioners, and nursing staff to complete referrals in accordance with payor requirements.
Enter patient charges and process referral documentation accurately.
Schedule and reschedule appointments and perform clerical duties, including answering telephone calls, retrieving medical records, recording data, typing memorandums, and filing patient charts.
Research claim edits and denials, resolve discrepancies, and research billing information.
Key charges, process batches, prepare bank/deposit summaries, review diagnosis and procedure codes, and enter data into the system at the point of service.
Verify and collect patient payments, confirm account balances, reconcile the daily cash fund, and manage cash securely according to policy.
Maintain general knowledge of health plans, including co-pays, deductibles, and co-insurance, and meet site collection goals.
Provide backup support for others in the clinic, support operational improvement initiatives, and provide training and orientation to team members when assigned.
Perform other duties as assigned.