Patient Access Representative - HCCS - Glen Oaks High School

FMOLHS•Baton Rouge, LA

About The Position

The Patient Access Representative accurately registers patients in the electronic medical record (EMR), 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 supports customer service, patient flow, and compliance with payor requirements. Duties include communicating billing procedures and anticipated charges, maintaining patient records, coordinating referrals and appointments, addressing patient questions, processing charges and payments, resolving billing discrepancies, and completing clerical tasks. The role may also provide backup coverage and training to clinic team members when assigned.

Requirements

High school diploma or equivalent.
At least 6 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 the experience requirement.
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 explain collection and billing procedures, anticipated charges, and patients’ payment responsibilities.
Welcome patients and families, respond appropriately to their questions and concerns, and provide information about patient rights and Advance Directives upon request.
Obtain, verify, update, and maintain accurate patient and insurance information in the clinic’s computer system.
Register patients in Epic, monitor patient flow, review accounts to determine financial responsibility, arrange payment plans, and facilitate access to MyChart and other information.
Assist patients with access to government and community resources that support access to health care.
Coordinate with physicians, nurse practitioners, and nursing staff to complete referrals in accordance with payor requirements and timelines.
Enter patient charges and update patient records as needed.
Process referral documentation; schedule and reschedule appointments; perform clerical tasks such as answering calls, retrieving records, entering data, typing memorandums, and filing charts.
Research claim edits, denials, billing information, and discrepancies, and resolve issues within the stated timelines.
Key charges and process batches daily; 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, verify account balances, reconcile the daily cash fund, and manage cash securely in accordance with established procedures.
Maintain general knowledge of health plans, including copayments, deductibles, and coinsurance, 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.