Patient Access Representative - Adult Urology Surgery

FMOL Health; Baton Rouge (LA); On-site; USD 34,000 - 44,000; Full time

Job summary

FMOL Health in Baton Rouge, LA is seeking an experienced front desk associate to accurately register patients in the EMR, validate information, verify insurance, and collect payments. You will help ensure a best-in-class patient experience while following established guidelines under supervision.

Responsibilities include managing patient flow in Epic, explaining billing and payment responsibilities, assisting with referrals, and supporting clinic operations.

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.

Responsibilities

• Customer Service: assist patients with billing procedures and anticipated charges to minimize confusion.
• Welcoming patients to the clinic with courtesy and ensuring a positive first impression.
• Address questions and concerns from patients and families promptly to avoid complaints.
• Inform patients of their rights and Advance Directives on request.
• Accurately obtain and edit patient and insurance information in the EMR system (Epic).
• Monitor patient flow and verify financial responsibility; arrange payment plans as needed.
• Assist patients in accessing government and community health resources.
• Coordinate with physicians and nursing staff to ensure timely referrals and service access.

Skills

Customer service

Front desk

Multi-tasking

Communication

Computer literacy

Education

High School Diploma or Equivalent

Front office/medical office program

Tools

Epic

Job description

Job Description

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.

Job Description

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
• 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.
• 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, as evidenced by information is accurate at all times.
• 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.
• Monitors patient schedules and reviews accounts to determine the patient's financial responsibility on account balance and arranges payment plans to collect.
• Assists patients with access to government and community resources to enhance their access to health care services.
• 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.
• Facilitates the patient's access to information including but not limited to MyChart access.
• Accurately updates patient records as needed.
• Accurately enters patient charges as necessary.
• Patient Flow
• Documentation related to patient referrals is accurately processed at all times.
• Patient appointments are scheduled and rescheduled appropriately as evidenced by effective patient flow through the clinic at all times.
• 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.
• 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.
• 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 patients 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.
• 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.
• Meets site collection goals.
• Other Duties as Assigned:
• Act as a backup for others in the clinic as needed.
• Actively supports clinic, hospital and health system initiatives related to improvement in the day-to-day operations.
• May provides training and orientation for other Team Members when assigned.
• Other duties as assigned.

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.