Patient Access Representative - HCCS - Glen Oaks High School

FMOLHS•Baton Rouge, LA

About The Position

The Patient Access Representative is responsible for accurately registering patients in the electronic medical record (EMR), validating patient information, verifying insurance coverage, collecting required payments, and supporting 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, answers patient and family questions, updates patient records, and supports access to health care services and information such as MyChart. The role also coordinates referrals and appointments, supports patient flow, performs clerical duties, and ensures accurate and timely handling of billing information, claims, payments, and cash in accordance with payor requirements and established procedures.

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 and ability to learn and demonstrate proficiency in Epic during the introductory period.

Responsibilities

Courteously explain collection and billing procedures, anticipated charges, and patients' payment responsibilities.
Welcome patients and families and address their questions and concerns appropriately.
Inform patients of their rights and Advance Directives upon request.
Accurately obtain, edit, and update patient and insurance information in the clinic's computer system and EMR, including Epic.
Register patients efficiently and manage patient flow through the clinic.
Review schedules and accounts to determine patient financial responsibility and arrange payment plans.
Assist patients with access to government and community resources and information, including MyChart.
Coordinate referrals with physicians, nurse practitioners, and nursing staff in accordance with payor requirements.
Enter patient charges and accurately process referral documentation.
Schedule and reschedule appointments and perform clerical duties, including answering phones, retrieving and filing medical records, recording data, and typing memorandums.
Research claim edits, denials, billing information, and discrepancies, and resolve them within required timelines.
Key charges, process batches daily, and prepare bank or 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 co-pays, deductibles, and co-insurance.
Manage cash securely and according to established policies and procedures, and meet site collection goals.
Provide backup support for others in the clinic, support operational improvement initiatives, and provide training or orientation to team members when assigned.
Perform other duties as assigned.