Patient Access Representative – LPG Bariatric Clinic

Job Category:

Job Description: 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:
Customer Service:
This will have been satisfactorily performed when:

• Patients are courteously and appropriately advised of the collection and billing procedures and anticipated charges so as to assist patients in their understanding their liability and responsibility regarding their payment as evidenced by less than 5 complaints a year.
• All patients/families are courteously welcomed and greeted to the clinic as evidenced by lack of complaints.
• Questions & concerns from patients and/or family members are answered/addressed in an appropriate manner as evidenced by lack of customer complaints.
• Patient and insurance information is accurately obtained and edited as necessary in the clinic’s computer system, as evidenced by information is accurate at all times.

Patient Flow:
This will have been satisfactorily performed when:

• Documentation related to patient referrals is accurately processed at all times.
• Patient appointments are scheduled and rescheduled as appropriate as evidenced by effective patient flow through the clinic at all times.
• A variety of clerical duties (answers telephone calls, retrieves medical records, records data, types memorandums, etc.) are efficiently completed in a timely and efficient manner at all times.
• Current patient charts/files and appropriate information are accurately filed as evidenced by ease of the file retrieval process.

Payor Regulations:
This will have been satisfactorily performed when:

• Claim edits and denials are researched and discrepancies resolved within 2 days of notification.
• All information for completing the billing process, including charge information from the physician 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 as evidenced by up-to-date records at all times.
• 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 at all times.

Other Duties As Assigned:
This will have been satisfactorily performed when:

• Other duties as assigned are completed.
• Acts as a backup for others in the clinic as needed.

Qualifications: 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.

About Us:

The Franciscan Missionaries of Our Lady Health System is a leading health care innovator in Louisiana and Mississippi. We bring together outstanding clinicians, the most advanced technology and leading research to ensure that our patients receive the highest quality and safest care possible. This commitment is grounded in a history that is more than 100 years old, but reflected today by our strategic vision of transforming healthcare through superior performance and excellent patient care.

• 1,747 Licensed Beds
• 65,322 Discharges
• 44,592 OR Procedures
• 10,827 Full Time Employees
• 331,360 Inpatient Days
• 1,915 Active Medical Staff
• 229,296 Emergency Visits

As a nonprofit, mission-focused Catholic healthcare ministry, we give special attention to our citizens who are most in need. During the most recent fiscal year, we…