Patient Access Representative 1 - Clinic

About the position

The Clinic Access Rep 1 is 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.

Responsibilities

• Patients are courteously and appropriately advised of the collection and billing procedures and anticipated charges.
• All patients/families are courteously welcomed and greeted to the clinic.
• Questions & concerns from patients and/or family members are answered/addressed in an appropriate manner.
• Patients are informed of their rights and Advance Directives upon request.
• Patient and insurance information is accurately obtained and edited as necessary in the clinic's computer system.
• Documentation related to patient referrals is accurately processed.
• Patient appointments are scheduled and rescheduled as appropriate.
• A variety of clerical duties (answers telephone calls, retrieves medical records, records data, types memorandums, etc.) are efficiently completed.
• Current patient charts/files and appropriate information are accurately filed.
• Claim edits and denials are researched and discrepancies resolved within 2 days of notification.
• All information for completing the billing process is researched and discrepancies resolved within 2 days of receipt.
• Charges are keyed and batches processed daily, and bank/deposit summary is prepared immediately after balancing payment to receipts.
• Diagnosis and procedures codes are reviewed for accuracy and data is entered into the system at point of service.
• Patient payments for services rendered are verified and collected from patient 100% of the time.
• Account balances are verified, and the outstanding balance collected from patient and the daily cash fund reconciled daily.
• A general knowledge of the health plans, including co-pays, deductibles and co-insurance is maintained.
• Other duties as assigned are completed.
• Acts as a backup for others in the clinic as needed.

Requirements

• 6 months experience in a customer service/front desk role or a graduate of a front office/medical office program.
• High School Diploma or Equivalent.

Nice-to-haves

• Bachelor's degree may substitute for experience.
• 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.