Patient Access Rep - Clinic; Family Medicine Residency

Patient Access Rep - Clinic (Family Medicine Residency)

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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.

• Customer Service:
  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, with less than 5 complaints a year.
• All patients/families are courteously welcomed and greeted to the clinic, evidenced by lack of complaints.
• Questions & concerns from patients and/or family members are answered/addressed appropriately, evidenced by lack of customer complaints.
• Patients are informed of their rights and Advance Directives upon request.
• Patient and insurance information is accurately obtained and edited in the clinic's computer system, information always accurate.
• Patient Flow:
  When documentation related to patient referrals is accurately processed at all times.
• Patient appointments are scheduled and rescheduled appropriately, ensuring effective patient flow through the clinic at all times.
• A variety of clerical duties (answer telephone calls, retrieve medical records, record data, type memorandums, etc.) are completed efficiently and timely.
• Current patient charts/files and appropriate information are accurately filed, aiding easy retrieval.
• Payor Regulations:
  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 prepared immediately after balancing payment to receipts.
• Diagnosis and procedures codes are reviewed for accuracy and data entered into the system at point of service, ensuring up-to-date records at all times.
• Patient payments for services rendered are verified and collected 100% of the time; account balances verified and outstanding balance collected from patient and 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:
  Other duties as assigned are completed and act as backup for others in the clinic as needed.

• 6 months experience in a customer service/front desk role or graduate of a front office/medical office program. Bachelor's degree may substitute for experience.
• High School Diploma or Equivalent.
• 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.

Entry level

Full-time

Health Care Provider

Hospitals and Health Care