Patient Access Representative - Baker Clinic

FMOLHS•Baker, LA

About The Position

The Patient Access Representative is responsible for accurately registering patients in the electronic medical record, 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 welcomes and assists patients and families, explains collection and billing procedures and anticipated charges, responds to questions, helps patients access information and community resources, and coordinates with clinical staff to complete referrals. The role also supports patient flow through scheduling, clerical work, record management, and accurate entry of patient information, charges, diagnoses, and procedures. Additional duties include researching billing discrepancies, processing charges and payments, managing cash securely, reconciling daily funds, and supporting clinic operations 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/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 answer questions or concerns appropriately.
Explain collection and billing procedures, anticipated charges, and patients’ payment responsibilities.
Inform patients of their rights and Advance Directives upon request.
Obtain, verify, edit, and update patient and insurance information in the clinic computer system.
Register patients in Epic and monitor patient flow through the clinic.
Review patient schedules and accounts to determine financial responsibility and arrange payment plans when needed.
Assist patients with access to government and community resources and information, including MyChart.
Coordinate with physicians, nurse practitioners, and nursing staff to complete referrals according to payor requirements and in a timely manner.
Enter patient charges as necessary and ensure diagnosis and procedure codes are reviewed and entered accurately at the point of service.
Process referral documentation accurately; schedule and reschedule appointments appropriately.
Complete clerical duties, including answering telephone calls, retrieving medical records, recording data, typing memorandums, and filing patient charts and information.
Research claim edits, denials, billing information, and discrepancies, and resolve them within the stated timeframes.
Key charges and process batches daily; prepare bank/deposit summaries after balancing payments to receipts.
Verify and collect patient payments and outstanding account balances, reconcile the daily cash fund, and securely manage cash according to established procedures.
Maintain general knowledge of health plans, including co-pays, deductibles, and co-insurance, and meet site collection goals.
Back up other clinic team members as needed, support operational improvement initiatives, and provide training or orientation when assigned.
Perform other duties as assigned.