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Patient Access Representative

2 months ago

Monroe, Louisiana, United States Franciscan Missionaries of Our Lady Health System Full time
Job Description

The Clinic Access Representative is responsible for ensuring a seamless patient experience by accurately registering patients in the electronic medical record (EMR) system. This includes verifying patient information, validating insurance coverage, collecting required payments, and providing exceptional customer service.

ResponsibilitiesCustomer Service
  • Provide courteous and informative advice to patients regarding collection and billing procedures, ensuring they understand their liability and responsibility.
  • Welcome and greet all patients and families in a timely and professional manner.
  • Respond to patient and family inquiries in a prompt and respectful manner.
  • Inform patients of their rights and Advance Directives upon request.
  • Accurately obtain and edit patient and insurance information in the EMR system.
Patient Flow
  • Process patient referrals accurately and efficiently.
  • Schedule and reschedule patient appointments as needed, ensuring effective patient flow through the clinic.
  • Complete a variety of clerical duties, including answering phone calls, retrieving medical records, and recording data.
  • Filing patient charts and information in a timely and accurate manner.
Payor Regulations
  • Research and resolve claim edits and denials within 2 days of notification.
  • Verify and resolve discrepancies in billing information, including charge information from physicians.
  • Key charges and process batches daily, preparing a bank/deposit summary immediately after balancing payments.
  • Review diagnosis and procedure codes for accuracy and enter data into the system at point of service.
  • Verify and collect patient payments for services rendered, reconciling daily cash funds.
Qualifications

6 months experience in a customer service/front desk role or a graduate of a front office/medical office program. Bachelor's degree may substitute for experience. Professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, and demonstrated computer literacy required.