Patient Access Representative, Lafayette Children's Clinic

FMOLHS•Lafayette, LA

About The Position

The Patient Access Representative registers patients in the electronic medical record, validates patient and insurance information, verifies coverage, collects required payments, and supports a high-quality patient experience. The role follows established guidelines and works under close supervision. The representative provides courteous customer service, explains collection and billing procedures and anticipated charges, responds to patient and family questions, and informs patients of their rights and Advance Directives upon request. The role also supports patient access to care by managing schedules and referrals, assisting with government and community resources, facilitating access to MyChart, maintaining accurate records, entering charges, and coordinating with clinical staff. Additional duties include processing referral documentation, performing clerical and filing tasks, researching claim edits and denials, resolving billing discrepancies, processing charges and deposits, reviewing diagnosis and procedure codes, collecting and reconciling payments, and supporting clinic operations and 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 use critical thinking.
Demonstrated computer literacy.
Ability to learn and demonstrate proficiency in Epic during the introductory period.

Responsibilities

Courteously welcome patients and families and explain collection, billing, and anticipated charges.
Address patient and family questions and concerns appropriately; provide information about patient rights and Advance Directives upon request.
Obtain, verify, update, and accurately enter patient and insurance information in the clinic computer system and Epic.
Register patients efficiently and manage patient flow through the clinic.
Review patient schedules and accounts, determine financial responsibility, and arrange payment plans when appropriate.
Assist patients in accessing government and community resources and MyChart.
Coordinate referrals with physicians, nurse practitioners, and nursing staff to meet payor requirements and timelines.
Update patient records and enter patient charges as needed.
Process referral documentation and schedule or reschedule appointments to support effective clinic flow.
Perform clerical duties, including answering telephone calls, retrieving medical records, recording data, typing memorandums, and filing charts and information.
Research claim edits, denials, and billing 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 copayments, deductibles, and coinsurance.
Manage cash securely and according to established policies and procedures, ensuring payments are credited accurately.
Meet site collection goals.
Provide backup for other clinic team members as needed, support operational improvement initiatives, and provide training or orientation when assigned.
Perform other duties as assigned.