Clinic Patient Access Rep - Family/Internal Medicine - Full-Time

Job Summary

The Clinic – Patient Access Representative assists in coordinating patient access services including scheduling, registration, insurance verification, and pre-certification. This role supports efficient clinic operations by providing excellent customer service and ensuring that all financial, demographic, and authorization requirements are accurately completed before the patient’s visit.

Essential Functions

• Register and pre-register patients by collecting and verifying demographic and financial data
• Address patient financial responsibilities including co-pays and co-insurance at the time of registration
• Verify insurance coverage, ensure compliance with payer requirements, and obtain necessary prior authorizations or referrals
• Maintain up-to-date knowledge of insurance payer guidelines
• Respond to patient and customer inquiries professionally and in a timely manner
• Manage daily appointment schedules, including placing reminder calls and contacting referred patients
• Accurately collect and reconcile co-pays
• Scan and upload documents, test results, and referral information into the electronic medical record (EMR)
• Review patient charts prior to scheduled visits to confirm all required documentation is present
• Prioritize tasks and complete assignments efficiently and accurately
• Provide coverage and support to other front office roles as needed
• Perform other duties as assigned

Knowledge/Skills/Abilities/Expectations

• Strong attention to detail and ability to maintain accurate records
• Excellent verbal and written communication skills
• Ability to multitask and prioritize in a fast-paced clinic environment
• Customer service-oriented with a professional and compassionate demeanor
• Knowledge of healthcare billing and insurance terminology preferred
• Proficiency in Microsoft Office applications (Word, Excel, Outlook)
• Experience with EMR systems and scheduling software desirable
• Knowledge of medical terminology and CPT/ICD coding
• Familiarity with insurance processes and regulations
• Frequent use of computer, phone, and other office equipment
• Occasional walking, standing, and light lifting (up to 25 lbs)
• Visual and auditory acuity required for data entry and patient communication
• Ability to work in environments with exposure to communicable diseases, odors, and biohazards
• Outpatient clinic setting
• Interaction with patients, providers, and administrative staff
• Fast-paced, patient-focused work environment requiring flexibility and accuracy

Qualifications

• Education: High School Diploma or Equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role.
• Licenses/Certifications: None Required
• Experience: One (1) year of experience in a medical office or similar healthcare setting (required), One (1) year of customer service experience (required)