Patient Access Representative - Urgent Care Clinic - St Amant

FMOLHS•St. Amant, LA

About The Position

The Patient Access Representative accurately registers patients in the electronic medical record, validates patient information, verifies insurance coverage, collects required payments, and helps ensure a high-quality patient experience. The role follows established guidelines and works under close supervision. The representative welcomes and assists patients and families, explains billing procedures and anticipated charges, maintains accurate patient records, supports scheduling and patient flow, and coordinates referrals. The position also handles billing and payor-related tasks, including researching claim edits and denials, entering charges and codes, collecting payments, and reconciling cash. Additional duties may include backing up clinic colleagues, supporting operational improvement initiatives, and providing training 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 think critically.
Demonstrated computer literacy.
Ability to learn and demonstrate proficiency in Epic during the introductory period.

Responsibilities

Welcome patients and families courteously and respond appropriately to questions and concerns.
Explain collection and billing procedures, anticipated charges, and patient payment responsibilities.
Inform patients of their rights and advance directives upon request.
Accurately register patients in Epic and obtain, verify, update, and maintain patient and insurance information.
Monitor patient flow and schedules; schedule and reschedule appointments as appropriate.
Review accounts to determine financial responsibility, arrange payment plans, and collect outstanding balances and payments for services.
Assist patients in accessing government and community resources and MyChart.
Coordinate referrals with physicians, nurse practitioners, and nursing staff in accordance with payor requirements.
Enter patient charges and review diagnosis and procedure codes for accuracy at the point of service.
Process referral documentation and complete clerical duties, including answering calls, retrieving medical records, recording data, and typing memorandums.
File current patient charts and information accurately.
Research claim edits, denials, and billing discrepancies and resolve them within required timeframes.
Key charges and process batches daily; prepare bank and deposit summaries after balancing payments to receipts.
Verify patient payments, maintain knowledge of health plan requirements, manage cash securely, and reconcile the daily cash fund.
Meet site collection goals.
Provide clinic backup as needed, support operational improvement initiatives, and train or orient team members when assigned.
Perform other duties as assigned.