Patient Access Representative - Adult Primary Care Ambulatory

Overview

Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Relies on established guidelines to accomplish tasks. Works under close supervision.

• Customer Service:
  Patients are courteously and appropriately advised of the collection and billing procedures and anticipated charges so as to assist patients in understanding their liability and responsibility regarding their payment as evidenced by less than 5 complaints a year.
• Customer Service:
  All patients/families are courteously welcomed and greeted to the clinic as evidenced by lack of complaints.
• Customer Service:
  Questions and concerns from patients and/or family members are answered/addressed in an appropriate manner as evidenced by lack of customer complaints.
• Customer Service:
  Patients are informed of their rights and Advance Directives upon request.
• Customer Service:
  Patient and insurance information is accurately obtained and edited as necessary in the clinic's computer system, as evidenced by information being accurate at all times.
• Customer Service:
  Accurately and efficiently registers patients in Epic; monitors and manages the flow of patients through the clinic utilizing initiative to ensure the patient experience is best in class.
• Customer Service:
  Monitors patient schedules and reviews accounts to determine the patient's financial responsibility on account balance and arranges payment plans to collect.
• Customer Service:
  Assists patients with access to government and community resources to enhance their access to health care services.
• Customer Service:
  Works closely with physicians, nurse practitioners and nursing staff to ensure that referrals to other providers/services/facilities are completed in accordance with payor requirements in a timely manner.
• Customer Service:
  Facilitates the patient's access to information including but not limited to MyChart access.
• Customer Service:
  Accurately updates patient records as needed.
• Customer Service:
  Accurately enters patient charges as necessary.
• Documentation:
  Documentation related to patient referrals is accurately processed at all times.
• Documentation:
  Patient appointments are scheduled and rescheduled appropriately as evidenced by effective patient flow through the clinic at all times.
• Clerical: A variety of clerical duties (answer telephone calls, retrieve medical records, records data, type memorandums, etc.) are efficiently completed in a timely and efficient manner at all times.
• Clerical:
  Current patient charts/files and appropriate information are accurately filed as evidenced by ease of the file retrieval process.
• Payor Regulations:
  Claim edits and denials are researched and discrepancies resolved within 2 days of notification.
• Payor Regulations:
  All information for completing the billing process, including charge information from the physician is researched and discrepancies resolved within 2 days of receipt.
• Payor Regulations:
  Charges are keyed and batches processed daily, and bank/deposit summary is prepared immediately after balancing payment to receipts.
• Payor Regulations:
  Diagnosis and procedures codes are reviewed for accuracy and data is entered into the system at point of service as evidenced by up-to-date records at all times.
• Payor Regulations:
  Patient payments for services rendered are verified and collected from patient 100% of the time.
• Payor Regulations:
  Account balances are verified, and the outstanding balance collected from patients and the daily cash fund reconciled daily.
• Payor Regulations: A general knowledge of the health plans, including co-pays, deductibles and co-insurance is maintained at all times.
• Payor Regulations:
  Manages cash in accordance with established policies and procedures to ensure that payments are accurately credited to the patients' accounts and cash is maintained in a secure manner.
• Payor Regulations:
  Meets site collection goals.
• Other Duties as Assigned:
  Act as a backup for others in the clinic as needed.
• Other Duties as Assigned:
  Actively supports clinic, hospital and health system initiatives related to improvement in the day-to-day operations.
• Other Duties as Assigned:
  May provide training and orientation for other Team Members when assigned.
• Other Duties as Assigned:
  Other duties as assigned.

Experience:

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.

Education:

High School Diploma or Equivalent

Special

Skills:

Professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, demonstrated computer literacy, ability to learn and demonstrate proficiency in Epic during the introductory period.

• Job Identification 45251
• Job Category
• Locations 2524 South Philippe Ave, Gonzales, LA, 70737, US (On-site)
• Job Schedule Full time
• Job Shift Day
• Job…