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 helps provide a high-quality patient experience. The role follows established guidelines and works under close supervision. It supports patient access and clinic operations through registration, scheduling, referral coordination, payment and account processing, and related clerical duties.

Requirements

  • High school diploma or equivalent.
  • Six 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 apply critical thinking.
  • Demonstrated computer literacy.
  • Ability to learn and demonstrate proficiency in Epic during the introductory period.

Responsibilities

  • Welcome patients and families courteously, answer questions appropriately, and explain collection and billing procedures, anticipated charges, patient responsibility, rights, and Advance Directives upon request.
  • Accurately obtain, verify, update, and maintain patient and insurance information in the clinic's computer system and Epic.
  • Register patients, manage patient flow, monitor schedules and accounts, determine financial responsibility, arrange payment plans, and facilitate access to MyChart and government or community resources.
  • Coordinate referrals with physicians, nurse practitioners, and nursing staff, ensuring documentation and processing meet payer requirements and are completed in a timely manner.
  • Schedule and reschedule appointments, answer telephone calls, retrieve and file medical records, record data, type memorandums, and perform other clerical duties.
  • Enter patient charges and billing information; research and resolve claim edits, denials, and billing discrepancies within the stated timelines.
  • Review diagnosis and procedure codes for accuracy and enter data at the point of service.
  • Verify and collect patient payments and outstanding balances, reconcile the daily cash fund, process charge batches, prepare bank/deposit summaries, and handle cash securely according to policy.
  • Maintain general knowledge of health plans, including copayments, deductibles, and coinsurance, and meet site collection goals.
  • Back up other clinic staff, support operational improvement initiatives, and provide training or orientation to team members when assigned.
  • Perform other duties as assigned.
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