Patient Access Representative, Internal Medicine Clinic

FMOLHS•Lafayette, LA

23h

About The Position

The Patient Access Representative is responsible for accurately registering patients in the 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 supports customer service, patient flow, and payer-regulation processes. Duties include assisting patients and families, maintaining accurate records, coordinating referrals and appointments, handling billing and payment activities, and completing clerical tasks. The role may also provide backup coverage and support clinic and health-system improvement initiatives.

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.
Excellent customer service skills.
Ability to multitask.
Critical-thinking ability.
Demonstrated computer literacy.
Ability to learn and demonstrate proficiency in Epic during the introductory period.

Responsibilities

Courteously explain collection and billing procedures and anticipated charges to patients, helping them understand their payment liability and 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, update, and edit patient and insurance information in the clinic's computer system and maintain accurate patient records.
Register patients accurately and efficiently in Epic and manage patient flow through the clinic.
Review schedules and accounts to determine patient financial responsibility and arrange payment plans to collect account balances.
Assist patients in accessing government and community resources that support access to health care services.
Coordinate with physicians, nurse practitioners, and nursing staff to complete referrals to other providers, services, or facilities according to payer requirements and in a timely manner.
Help patients access information, including MyChart.
Enter patient charges as necessary.
Process referral documentation accurately and schedule or reschedule appointments to support effective patient flow.
Complete clerical duties, including answering telephone calls, retrieving medical records, recording data, typing memorandums, and filing patient charts and information.
Research claim edits and denials and resolve discrepancies within two days of notification.
Research billing information, including physician charge information, and resolve discrepancies within two days of receipt.
Key charges, process batches daily, and prepare bank/deposit summaries after balancing payments to receipts.
Review diagnosis and procedure codes for accuracy and enter data into the system at the point of service.
Verify and collect patient payments for services, verify 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 according to established policies and procedures, ensuring payments are correctly credited and cash is secured.
Meet site collection goals.
Provide backup coverage for others in the clinic as needed.
Support clinic, hospital, and health-system initiatives related to improving day-to-day operations.
Provide training and orientation to other team members when assigned.
Perform other duties as assigned.